Puthenpurackal Mathew
Pediatric Endocrinologist
330 23rd Ave N Suite 450
Nashville
, Tennessee 37203-1534
Puthenpurackal Mathew
Pediatric Endocrinologist
330 23rd Ave N Suite 450
Nashville
, Tennessee 37203-1534
(615) 342-7340
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Puthenpurackal Mathew
- 330 23rd Ave N Suite 450
- Nashville, TN
- Zip : 37203-1534
- Fax : (615) 342-7340
- Phone : (615) 342-7339
Second Address
- Puthenpurackal Mathew
- 330 23rd Ave N Suite 450
- Nashville, TN
- Zip : 37203-1534
- Fax : (615) 342-7340
- Phone : (615) 342-7339
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Is Puthenpurackal Mathew a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | MD29509 | TN |
National Provider Identifier
| NPI | 1154405272 |
|---|---|
| Provider Name | Puthenpurackal Mathew |
| First Address | Nashville, TN 37203-1534 |
| Second Address | Nashville, TN 37203-1534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 14/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G63512 | (02) |
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.