# ROBERT S. MATHIAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215965595
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | 036-163497 | IL | — |
| 2080P0210X | Pediatric Nephrology Physician | G54520 | CA | — |
| 2080P0210X | Pediatric Nephrology Physician | ME96677 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 12/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002086395 | — | NV |
| 05 | — | 208735407 | — | MO |
| 05 | — | 276312500 | — | FL |
| 05 | — | 806503700 | — | ID |
| 05 | — | 8326829 | — | WA |