BENCY MATHAI MD PLLC NPI 1194967166

NPI Information

  • NPI: 1194967166
  • Provider Name: BENCY MATHAI MD PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1310 GREENWOOD AVE
    JACKSON, MI
    ZIP 49203
  • Phone: (517) 960-3966

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NPI Details

BENCY MATHAI MD PLLC is a clinic center in Jackson, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BENCY MATHAI MD PLLC NPI is 1194967166. The provider is registered as an organization entity type.

The provider's business location address is:

1310 GREENWOOD AVE
JACKSON, MI
ZIP 49203-077
Phone: (517) 960-3966
Fax: (517) 787-9183

The provider's authorized official is Bency Mathai .
The authorized official title is Physician and has the following contact phone number (517) 960-3966.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 4/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4301071335MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERMICHIGANEIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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