Individual
BOBAN N MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 E CENTENNIAL DR, PITTSBURG, KS 66762-6623
(620) 231-0204
(620) 308-7240
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0425243
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281310C
—
KS
01
—
2006012207
PHYSICIAN LICENSE
MO
Enumeration date
08/15/2006
Last updated
02/03/2025
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