Individual
PUTHENPURACKAL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 23RD AVE N, SUITE 450, NASHVILLE, TN 37203-1534
(615) 342-7339
(615) 342-7340
Mailing address
330 23RD AVE N, SUITE 450, NASHVILLE, TN 37203-1534
(615) 342-7339
(615) 342-7340
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD29509
TN
Other
Enumeration date
10/25/2006
Last updated
06/14/2013
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