AMIRA MATTA


Address: 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928
Phone: 3136895188

AMIRA MATTA (NPI# 1659884799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659884799
Entity Type Individual
Full Name AMIRA MATTA
Practice Address 23400 Michigan Ave Ste P40
Dearborn
MI 48124-1928
Mailing Address 5438 Hartwell St
Dearborn
MI 48126-3311
Practice Telephone 3136895188
Mailing Telephone 3137996833
Enumeration Date 2017-11-12
Last Update Date 2017-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156F00000X Technician/Technologist MI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 03302913 05

Office Location

Street Address 23400 MICHIGAN AVE STE P40
City DEARBORN
State MI
Zip Code 48124-1928

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326582420 Chitter Chatter Community/Behavioral Health 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2016-12-07
1922511757 Kyleigh-jo Marie Lemerande Behavior Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-11-15
1568975498 Georgeta Banica Manitiu Behavioral Analyst 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-11-14
1255843892 Alexandria Kay Wilburn Behavior Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-11-03
1326550336 Journee Elizabeth Gautz Behavior Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-10-31
1962914291 Tanekqua Drakeford Social Worker 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-10-26
1760994024 Lauren Toma Behavior Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-10-26
1154833630 Kayla Saad Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-10-24
1093233553 Shonalee Dawn Hughes Behavior Technician 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-09-05
1164948493 Ashley Marie Dahl Speech-Language Pathologist 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 2017-08-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396302196 Mariam Hassan Bazzi Technician/Technologist 6635 Steadman St, Dearborn, MI 48126-1758 2019-05-28
1306400320 Taylor Scotland Technician/Technologist 19853 Outer Dr., Suite 110, Dearborn, MI 48124-2044 2019-04-24
1962960575 Shaqeitrus Amere Mayfield Technician/Technologist 166 S Waverly St, Dearborn, MI 48124-1448 2019-03-04
1992204655 Breonna Everett Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2018-02-08
1831704782 Grace Marie Akua Bio Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2020-09-08
1235742909 Jahaan Kohari Brittman Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2020-08-24
1457963050 Dequan Alexander Robertson Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2020-08-17
1457961526 Mackenzie Rae Kowalewicz Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2020-08-04
1386253375 Paris Knox Technician/Technologist 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 2020-07-27
1689207367 Malek Rammouni Technician/Technologist 19853 Outer Dr, Dearborn, MI 48124-2066 2020-02-20
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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