Healthcare Provider Details

I. General information

NPI: 1023751120
Provider Name (Legal Business Name): VARKEY MATHEW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2022
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8556 BUSTLETON AVE
PHILADELPHIA PA
19152-1218
US

IV. Provider business mailing address

101 E OLNEY AVE STE 400
PHILADELPHIA PA
19120-2470
US

V. Phone/Fax

Practice location:
  • Phone: 215-698-9200
  • Fax: 215-698-0816
Mailing address:
  • Phone: 215-456-1825
  • Fax: 215-456-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD491443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: