Mathai, George Thottakara

Mathai, George Thottakara is an sole proprietor health care provider with primary practice located at 224 Long St , New Johnsonville TN 37134-2468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mathai, George Thottakara can be contacted via phone (931) 535-3734.

Contact Information

Primary practice address
224 Long St New Johnsonville TN 37134-2468
Phone: (931) 535-3734
Fax: (931) 535-3742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000038042 Tennessee

Profile Details

NPI number 1316098858
LBN Legal business name Mathai, George Thottakara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jan 7th, 2013 - about 13 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 1316098858 NPPES
Tennessee Other 4074799 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 3889576 BLUE CROSS BLUE SHIELD TN

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