Thekkekara, Jose Mathew

Thekkekara, Jose Mathew is an individual health care provider with primary practice located at 85 Kirman Ave Ste 200 , Reno NV 89502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Thekkekara, Jose Mathew can be contacted via phone (775) 982-2826.

Contact Information

Primary practice address
85 Kirman Ave Ste 200 Reno NV 89502
Fax: (775) 982-2865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 8941 Nevada

Profile Details

NPI number 1649314683
LBN Legal business name Thekkekara, Jose Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 5th, 2018 - about 3 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 1649314683 NPPES
Nevada MEDICAID 1649314683
Nevada Other 11830250
Nevada Other P01092343

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