Amira Matta is a Technician/Technologist based in Dearborn, MI. Amira Matta practices in Dearborn, MI. The NPI Number for Amira Matta is 1659884799 and holds a License No. (Michigan).
The current practice location address for Amira Matta is 23400 Michigan Ave Ste P40, Dearborn, MI and can be reached out via phone at 313-689-5188.
Location: 23400 Michigan Ave Ste P40, Dearborn, MI, 48126-3311
Provider Profile Details
NPI Number
1659884799
Provider Name
Amira Matta
Credential
Provider Entity Type
Individual
Gender
Female
Address
23400 Michigan Ave Ste P40, Dearborn, MI, 48126-3311
Phone Number
313-689-5188
Fax Number
Provider Enumeration Date
11/12/2017
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03302913 | 05 | MI |
Provider Business Practice Location Address Details
Address
23400 Michigan Ave Ste P40
City
State
Zip
48124-1928
Phone Number
313-689-5188
Fax Number
Provider Business Mailing Address Details
Address
23400 Michigan Ave Ste P40
City
State
Zip
48124-1928
Phone Number
313-689-5188
Fax Number
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
(Michigan)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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