Geevarghese, Mathulla
Geevarghese, Mathulla is an individual health care provider with primary practice located at 1101 N.W -134 Avenue, Sunrise FL 33323-2914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Geevarghese, Mathulla can be contacted via phone (954) 846-7588.Contact Information
Primary practice address
1101 N.W -134 Avenue
Sunrise FL 33323-2914
Phone: (954) 846-7588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME63605 | Florida |
Profile Details
| NPI number | 1730165853 |
|---|---|
| LBN Legal business name | Geevarghese, Mathulla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Sep 3rd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730165853 | NPPES |
| Florida | MEDICAID | 372687800 |
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