Individual provider · Type 1 NPI

Shane Korah Mathew, MD

Student in an Organized Health Care Education/Training Program · Piscataway, NJ

NPI number 1992384556 Active

Practice location

675 Hoes Ln W
Piscataway, NJ 08854-8021

Call (732) 828-3000 Map

Mailing address

5301 Butternut Ridge Dr
Independence, OH 44131-4690

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992384556

Shane Korah Mathew, MD's National Provider Identifier is 1992384556, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Piscataway, NJ. The record was last updated on Apr 11, 2021.