Provider Demographics
NPI:1861127201
Name:MAHESH MATHEWS MD PLLC
Entity type:Organization
Organization Name:MAHESH MATHEWS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-707-7672
Mailing Address - Street 1:7301 E 2ND ST STE 311
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5627
Mailing Address - Country:US
Mailing Address - Phone:480-707-7672
Mailing Address - Fax:480-707-7673
Practice Address - Street 1:7301 E 2ND ST STE 311
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5627
Practice Address - Country:US
Practice Address - Phone:480-707-7672
Practice Address - Fax:480-707-7673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty