Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 036130393 | IL |
Y | 2081P2900X | Pain Medicine | 35.121532 | OH |
N | 2081P2900X | Pain Medicine | 4301102404 | MI |
NPI | 1093045346 |
---|---|
Provider Name | Dr. Sunjay Mathur |
First Address | Sheffield Village, OH 44035-1494 |
Second Address | Sheffield Village, OH 44035-1494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2010 |
Last Update Date | 19/08/2014 |