Individual
MS. SUJI V MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026119
AL
207RI0200X
Infectious Disease Physician
Primary
062557
GA
208M00000X
Hospitalist Physician
26119
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109053
—
AL
05
—
1912920356
—
AL
01
—
51597449
BCBS
AL
Enumeration date
07/26/2006
Last updated
06/24/2021
Update your record
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