PRASAD MATHEW

ALBUQUERQUE, NM
NPI1760404255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: NM  99-83)
Enumeration Date2006-07-24
Last Update Date2018-08-21
Business Address
PRASAD MATHEW MD
AMBULATORY CARE CTR FL 3 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-5551
Mailing Address
PRASAD MATHEW MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770