Provider Demographics
NPI:1104056076
Name:MATTHIAS, JOSHUA CARL (DO)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CARL
Last Name:MATTHIAS
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:KANSAS UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:3901 RAINBOW BLVD MAILSTOP 1034
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-3304
Mailing Address - Fax:913-588-3365
Practice Address - Street 1:KANSAS UNIVERSITY MEDICAL CTR
Practice Address - Street 2:3901 RAINBOW BLVD MAILSTOP 1034
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-3304
Practice Address - Fax:913-588-3365
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2024-10-09
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Provider Licenses
StateLicense IDTaxonomies
KS9407235207R00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine