Individual
DR. STEPHEN THOMAS MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 THORPE DR, DAYTON, OH 45420-1823
(937) 258-6330
(937) 252-1242
Mailing address
1780 VALLEYBROOK PL, CENTERVILLE FINANCE, OH 45459-5151
(937) 433-2932
(937) 252-1242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35048185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496379
—
OH
Enumeration date
09/06/2006
Last updated
07/08/2007
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