Individual
DR. SANTHOSH J MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Mailing address
316 MANATEE AVENUE WEST, ATT: IPM CREDENTIALING, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-8714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME 107179
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME107179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003193500
—
FL
01
—
P01110045
RAILROAD MEDICARE
FL
Enumeration date
03/22/2007
Last updated
07/21/2022
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