Individual
DR. ROSHAN K. MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3110 FAIRVIEW DR, OWENSBORO, KY 42303-2175
(270) 240-2129
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
39846
KY
207RI0011X
Interventional Cardiology Physician
Primary
39846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200900130
—
IN
05
—
64121510
—
KY
Enumeration date
08/20/2006
Last updated
12/07/2018
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