Provider Demographics
NPI:1659429603
Name:MATH, EDWARD F (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:F
Last Name:MATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1867 E FIR AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3808
Mailing Address - Country:US
Mailing Address - Phone:559-325-5800
Mailing Address - Fax:559-256-1989
Practice Address - Street 1:1867 E FIR AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3808
Practice Address - Country:US
Practice Address - Phone:559-325-5800
Practice Address - Fax:559-256-1989
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-09-27
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Provider Licenses
StateLicense IDTaxonomies
CAG852522085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G852520Medicaid
CA00G852520Medicaid