Adnan Matta MD PC
in Warren, MI. Organization (NPI-2).
NPI number1922265982
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1922265982
- Entity type
- Organization (NPI-2)
- Legal business name
- Adnan Matta MD PC
- Organization subpart
- No
- Enumeration date
- May 19, 2008
- Certification date
- Jan 13, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 4301034389 | MI | Yes | |
| 208D00000X | General Practice | 4301034389 | MI |
Practice location
4090 E 14 Mile Rd Ste 100Warren, MI 48092-1196
Phone 586-838-4441 · Fax 586-838-4641
Mailing address
4090 E14 Mile Rd Ste 100Warren, MI 48092-1196
Phone 586-838-4441 · Fax 586-838-4641
Authorized official
Adnan Halim Matta
President
5868384441
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