Provider Demographics
NPI:1396515011
Name:CHELLEW, MATTHEW GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:GEORGE
Last Name:CHELLEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 E 20TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2407
Mailing Address - Country:US
Mailing Address - Phone:416-731-4597
Mailing Address - Fax:
Practice Address - Street 1:1900 BARTON SPRINGS RD UNIT 5030
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1471
Practice Address - Country:US
Practice Address - Phone:512-828-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU7181207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine