Individual
K V MATHEW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4448 OAKBRIDGE DR, SUITE A, FLINT, MI 48532-5494
(810) 230-7905
(810) 230-7908
Mailing address
4448 OAKBRIDGE DR, SUITE A, FLINT, MI 48532-5494
(810) 230-7905
(810) 230-7908
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KM033355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081980
—
MI
01
—
2602500091
BLUE CROSS NUMBER
MI
01
—
2606491
HEALTHPLUS NUMBER
MI
Enumeration date
10/10/2005
Last updated
07/09/2007
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