Individual
ANNAKUTTY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 GOV. CARLOS CAMACHO RD., TAMUNING, GU 96913-3128
(671) 647-2330
Mailing address
159 TRENTON WAY, TAMUNING, GU 96913-3163
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M-941
GU
Other
Enumeration date
04/23/2007
Last updated
10/29/2010
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