Mathew, Mely Mary

Mathew, Mely Mary is an individual health care provider with primary practice located at 6000 University Ave Ste 100, West Des Moines IA 50266-8203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathew, Mely Mary can be contacted via phone (515) 241-2500.

Contact Information

Primary practice address
6000 University Ave Ste 100 West Des Moines IA 50266-8203
Phone: (515) 241-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA10251700 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125057754 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40758 Iowa

Profile Details

NPI number 1457667792
LBN Legal business name Mathew, Mely Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Feb 10th, 2021 - 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 1457667792 NPPES
Iowa MEDICAID 1457667792

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