Individual
DR. VINCENT P MATHEWS
Active
Individual
DR. VINCENT P MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01036675A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
61934
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248977
ANTHEM-351158723
IN
01
—
000000492358
ANTHEM 203778927
IN
01
—
020170
SIHO-351158723
IN
05
—
1033190624
—
WI
01
—
108061
HEALTH ALLIANCE-351158723
IN
05
—
200067870
—
IN
01
—
300136991
RR MEDICARE-351158723
IN
01
—
Q0071557
CMOSHO351158723&352047427
IN
Enumeration date
11/09/2005
Last updated
06/24/2015
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