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Individual
MISS AMRUTHA ELIZABETH MATHEW
Active
Individual
MISS AMRUTHA ELIZABETH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125067065
IL
208000000X
Pediatrics Physician
Primary
86202
GA
208000000X
Pediatrics Physician
D0086046
MD
Other
Enumeration date
04/06/2015
Last updated
01/29/2024
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