Individual
DR. MANOJ MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 E BELL RD STE 107, PHOENIX, AZ 85032-2158
(602) 340-1689
(602) 340-1853
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33087
AZ
207RP1001X
Pulmonary Disease Physician
Primary
33087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33087
AZ MD LIC
AZ
01
—
874554
UPIN
AZ
05
—
874554
—
AZ
Enumeration date
03/29/2007
Last updated
12/11/2020
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