# ALEYAMMA J MATHEW

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

## Provider details

- **NPI number:** 1659307627
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D27716 | MD | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 11/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 397801000 | — | MD |
| 01 | — | 417596-01 & 02 | BLUE CROSS/BLUE SHIELD | MD |
| 01 | — | 6391 | MEDICARE - PRIVATE PRACTICE | MD |