Rendo, Matthew
Rendo, Matthew is an individual health care provider with primary practice located at 88 Mdg/Sghj 4881 Sugar Maple Dr, Wright Patterson Afb OH 45433-5529. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Rendo, Matthew can be contacted via phone (816) 885-9531.Contact Information
Primary practice address
88 Mdg/Sghj 4881 Sugar Maple Dr
Wright Patterson Afb OH 45433-5529
Phone: (816) 885-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72143 | Tennessee |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 72143 | Tennessee |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 72143 | Tennessee |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 010264008 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101264008 | Virginia |
Profile Details
| NPI number | 1700246394 |
|---|---|
| LBN Legal business name | Rendo, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2016 |
| Last updated | Dec 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700246394 | NPPES |
| Virginia | Other | 0101264008 | TRICARE |
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