Individual
PREM MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 MCMILLEN DR, NEWARK, OH 43055-1811
(220) 564-7985
(220) 564-7986
Mailing address
150 MCMILLEN DR, NEWARK, OH 43055-1811
(220) 564-7985
(220) 564-7986
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.125013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112828
—
OH
Enumeration date
05/18/2009
Last updated
09/16/2025
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