Individual
DR. POOJA RITESH MATADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 MAYFAIR DR STE 409, OWENSBORO, KY 42301
(270) 417-7980
(270) 417-7989
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59662
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
10/03/2024
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