Mathew, Biju Benny
Mathew, Biju Benny is an individual health care provider with primary practice located at 6913 Camp Bowie Blvd Ste 171 , Fort Worth TX 76116-7165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mathew, Biju Benny can be contacted via phone (817) 731-6121.Contact Information
Primary practice address
6913 Camp Bowie Blvd Ste 171
Fort Worth TX 76116-7165
Phone: (817) 731-6121
Fax: (817) 732-8015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49383 | Arizona |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | S7496 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | S7496 | Texas |
Profile Details
| NPI number | 1700170867 |
|---|---|
| LBN Legal business name | Mathew, Biju Benny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jan 21st, 2025 - about last year |
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 | 1700170867 | NPPES |
| Arizona | MEDICAID | 951062 |
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