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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN KAKKATHOTTATHIL MATHEW, DO

Active

SHAWN KAKKATHOTTATHIL MATHEW, DO is a Allergy & Immunology healthcare provider located in HOLLIS, New York. NPI 1528521309 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · HOLLIS, NY

Registration Details

NPI Number
1528521309
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2019 (7.3643408509482 yrs)
Last Updated
Feb 2, 2026
Licenses
318868 (NY)
318868 (NY)

Practice Information

Address
8814 198TH ST
HOLLIS, NY, 114232119
Browse NY providers · Browse ZIP 11423
Phone
5162534877
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.