Annakutty Mathew, M.D.
Individual provider Active NPI Infectious Disease Physician · Tamuning, GU
NPI 1124246152 · NPPES record last updated Oct 29, 2010
Key facts
- NPI
- 1124246152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- M-941 (GU)
- Practice address
- 850 Gov. Carlos Camacho Rd.
Tamuning, GU 96913-3128 - Phone
- (671) 647-2330
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | M-941 | GU | Yes |
Addresses
Primary practice location
850 Gov. Carlos Camacho Rd.
Tamuning, GU 96913-3128
Mailing address
159 Trenton Way
Tamuning, GU 96913-3163
Other providers in Tamuning, GU
- Jaime Martin
- Jeanelle Martinez
- David K. Marutani
- Kristy Joy Quiros Mary
- Lenora Matanane
- Nino A Matias
- Debra Joanne Matson
- Danny Edward McClure
- James Vinnie McDarby
- Shantai McDermott
All providers in Tamuning, GU · Infectious Disease Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.