Individual
DR. MATHUKUTTY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005-00596
NC
2084P0800X
Psychiatry Physician
227931-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046V1
BCBS
NC
01
—
182182
MEDCOST
—
05
—
5907501
—
NC
01
—
P00716057
MEDICARE RAILROAD
—
Enumeration date
08/08/2006
Last updated
08/03/2009
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