Organization
ROSHAN K MATHEW, MD. P.S.C.
Active
Other names
Advanced Cardiology of Owensboro
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY HAYS (BILLING MANAGER/AUTHORIZED OFFICIAL)
(270) 240-2129
Entity
Organization
Contact information
Practice address
3110 FAIRVIEW DR, OWENSBORO, KY 42303-2175
(270) 240-2129
(270) 240-1227
Mailing address
2609 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 240-1747
(270) 240-1748
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39846
KY
207RI0011X
Interventional Cardiology Physician
39846
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/10/2016
Last updated
01/14/2021
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