Provider Demographics
NPI:1649037474
Name:MATHEW, PREETHY JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:PREETHY
Middle Name:JOSEPH
Last Name:MATHEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:590 MINNESOTA ST APT 540
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3025
Mailing Address - Country:US
Mailing Address - Phone:415-312-4769
Mailing Address - Fax:
Practice Address - Street 1:521 PARNASSUS AVE # CSB4403
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2206
Practice Address - Country:US
Practice Address - Phone:415-312-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPI809207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology