Provider Demographics
NPI:1871849612
Name:MATHEW, RINI (DO)
Entity Type:Individual
Prefix:MISS
First Name:RINI
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1081
Mailing Address - Country:US
Mailing Address - Phone:317-528-8009
Mailing Address - Fax:317-528-8012
Practice Address - Street 1:747 E COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1081
Practice Address - Country:US
Practice Address - Phone:317-528-8009
Practice Address - Fax:317-528-8012
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004865A2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine