Provider Demographics
NPI:1528297199
Name:MATHEW, AJU (MD)
Entity type:Individual
Prefix:DR
First Name:AJU
Middle Name:
Last Name:MATHEW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 ROSE ST, CC401B
Mailing Address - Street 2:UK INTERNAL MEDICINE, DIVISION OF MEDICAL ONCOLOGY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0093
Mailing Address - Country:US
Mailing Address - Phone:859-323-8043
Mailing Address - Fax:859-257-7715
Practice Address - Street 1:800 ROSE ST, CC401B
Practice Address - Street 2:UK INTERNAL MEDICINE, DIVISION OF MEDICAL ONCOLOGY
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0093
Practice Address - Country:US
Practice Address - Phone:859-323-8043
Practice Address - Fax:859-257-7715
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-04
Last Update Date:2015-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY48287207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine