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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730165853 NPPES
Florida MEDICAID 372687800

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