Organization
SHAJI MATHEW MD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAJI O MATHEW MD., PHD. (OWNER)
(775) 827-3639
Entity
Organization
Contact information
Practice address
3639 WARREN WAY, SUITE #100, RENO, NV 89509
(775) 827-3639
(775) 827-3638
Mailing address
3639 WARREN WAY, SUITE #100, RENO, NV 89509
(775) 827-3639
(775) 827-3638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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