Dr. Smitha Rajan Mathew
Pediatric Critical Care Doctor
1120 15th St
Augusta
, Georgia 30912-3957
Dr. Smitha Rajan Mathew
Pediatric Critical Care Doctor
1120 15th St
Augusta
, Georgia 30912-3957
(706) 446-5941
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Smitha Rajan Mathew
- 1120 15th St Ste Bi1056
- Augusta, GA
- Zip : 30912-0004
- Phone : (706) 446-5941
Second Address
- Dr. Smitha Rajan Mathew
- 1120 15th St
- Augusta, GA
- Zip : 30912-3957
- Phone : (706) 721-8623
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Is Dr. Smitha Rajan Mathew a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 081114 | GA |
National Provider Identifier
| NPI | 1225325384 |
|---|---|
| Provider Name | Dr. Smitha Rajan Mathew |
| First Address | Augusta, GA 30912-0004 |
| Second Address | Augusta, GA 30912-3957 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2011 |
| Last Update Date | 25/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.