National Provider Identifier

Theckedath Mathew, M.D.

Theckedath Mathew, M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 338-2322.

NPI 1144264862Rochester, NYCardiovascular Disease Physician

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1144264862
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
June 15, 2006
Last Updated
July 08, 2007

Practice Location

  • 1445 Portland Avenue
  • Suite 208
  • Rochester, NY 14621

Phone: (585) 338-2322

Mailing Address

  • 21 Runnymede Court
  • Rochester, NE 14618

Specialties

  • Cardiovascular Disease Physician (207RC0000X)

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Biography

Theckedath Mathew, MD, is a Rochester cardiologist with more than five decades of experience in cardiovascular medicine. Public physician profiles report that he earned his medical degree from Government Medical College Kottayam and completed residency training at St. Mary's Hospital/University of Rochester; they also note board certification in cardiovascular disease and hospital affiliations including Rochester General Hospital and Newark-Wayne Community Hospital.

Full Record
NPI
1144264862
Entity Type
Individual
Last Name
Mathew
First Name
Theckedath
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
21 Runnymede Court
Mailing City
Rochester
Mailing State
NE
Mailing ZIP Code
14618
Mailing Country
US
Practice Street Address
1445 Portland Avenue
Practice Address Line 2
Suite 208
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621
Practice Country
US
Practice Phone
(585) 338-2322
Enumeration Date
June 15, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
00719080 (NY)