Bassam Matti MD Plc
Family Medicine in Troy, MI. Organization (NPI-2).
NPI number1912167875
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1912167875
- Entity type
- Organization (NPI-2)
- Legal business name
- Bassam Matti MD Plc
- Organization subpart
- No
- Enumeration date
- Jun 13, 2008
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1273 Burns DrTroy, MI 48083-6317
Phone 248-761-7703 · Fax 586-601-2560
Mailing address
1273 Burns DrTroy, MI 48083-6317
Phone 248-761-7703 · Fax 586-601-2560
Authorized official
Bassam Matti
President
2487617703
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