Individual
DR. GOVIND SRIHARI MATTAY
Active
Individual
DR. GOVIND SRIHARI MATTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021020977
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2026009536
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200098257
—
MO
Enumeration date
06/17/2021
Last updated
07/07/2026
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