Mathew, Anil Abraham

Mathew, Anil Abraham is an sole proprietor health care provider with primary practice located at 13055 W Mcdowell Rd , Avondale AZ 85392-6449. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mathew, Anil Abraham can be contacted via phone (882) 220-6432.

Contact Information

Primary practice address
13055 W Mcdowell Rd Avondale AZ 85392-6449
Fax: (574) 335-0779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 238788 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01076796A Indiana

Profile Details

NPI number 1770700510
LBN Legal business name Mathew, Anil Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Sep 18th, 2020 - about 5 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 1770700510 NPPES
Indiana MEDICAID 201359350

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