Grace Zlaket Matta Md Llc

LBN: Grace Zlaket Matta Md Llc
Grace Zlaket Matta Md Llc is an health care organization with primary practice located at 9336 E, Raintree Dr. Ste 150, Scottsdale AZ 85260-7314. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grace Zlaket Matta Md Llc can be contacted via phone (480) 219-5597, or through Zlaket-Matta, Grace via phone (480) 219-5597.

Contact Information

Primary practice address
9336 E, Raintree Dr. Ste 150 Scottsdale AZ 85260-7314
Fax: (480) 219-5547
Website:
Authorized official contact:
Name: Zlaket-Matta, Grace

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23480 Arizona

Profile Details

NPI number 1720284334
LBN Legal business name Grace Zlaket Matta Md Llc
DBA Doing business as
Authorized official Zlaket-Matta, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Jun 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720284334 NPPES
Arizona MEDICAID 326480

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