AMIRA MATTA NPI 1659884799

NPI Information

NPI: 1659884799
Provider Name: AMIRA MATTA
Classification: Technician/Technologist - 156F00000X
Entity Type: Individual
Address:
23400 MICHIGAN AVE STE P40
DEARBORN, MI
ZIP 48124
Phone: (313) 689-5188
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Amira Matta is a technician technologist in Dearborn, MI. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. Amira Matta NPI is 1659884799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23400 MICHIGAN AVE STE P40
DEARBORN, MI
ZIP 48124-928
Phone: (313) 689-5188

The enumeration date for this NPI number is 11/12/2017 and was last updated on 11/12/2017.

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
1	156F00000X	Technician/Technologist			MICHIGAN	Yes

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	03302913	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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