ADNAN MATTA MD PC NPI 1922265982

NPI Information

NPI: 1922265982
Provider Name: ADNAN MATTA MD PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
835 MASON ST STE D140
DEARBORN, MI
ZIP 48124
Phone: (313) 914-4703
Get Directions

ADNAN MATTA MD PC is a vascular surgery surgery in Dearborn, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADNAN MATTA MD PC NPI is 1922265982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

835 MASON ST STE D140
DEARBORN, MI
ZIP 48124-256
Phone: (313) 914-4703
Fax: (313) 438-0148

The provider's authorized official is Adnan Halim Matta .
The authorized official title is President and has the following contact phone number (313) 914-4703.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 9/19/2022.

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	208D00000X	General Practice		4301034389	MICHIGAN	No
2	2086S0129X	Surgery	Vascular Surgery	4301034389	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	101701996	MEDICAID	MICHIGAN
2	0206353551	OTHER	MICHIGAN	BCBS

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »