Individual
ASHISH MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
643 E 3RD ST, GENTRY, AR 72734-8258
(479) 736-2213
(479) 736-2105
Mailing address
643 E 3RD ST, PO BOX 9, GENTRY, AR 72734-8258
(479) 736-2213
(479) 736-2105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24117
OK
207Q00000X
Family Medicine Physician
Primary
E5401
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165673001
—
AR
05
—
200096500B
—
OK
01
—
5N971
BCBS OF ARKANSAS
AR
01
—
P00620016
MEDICARE RAILROAD ARKANSAS
AR
Enumeration date
10/12/2006
Last updated
08/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us