Individual
PREMILA MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
3682 CINNAMON WAY, WESTLAKE, OH 44145-5700
(440) 779-9148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.066527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238451
—
OH
Enumeration date
05/02/2007
Last updated
07/08/2007
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