Imanguli, Matin Mikayil

Imanguli, Matin Mikayil is an sole proprietor health care provider with primary practice located at 102 James St Ste 302 , Edison NJ 08820-3970. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Imanguli, Matin Mikayil can be contacted via phone (732) 635-9300.

Contact Information

Primary practice address
102 James St Ste 302 Edison NJ 08820-3970
Phone: (732) 635-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401411071 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X Q0461 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 36041 Alabama
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25MA10294300 New Jersey
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 25MA10294300 New Jersey

Profile Details

NPI number 1114065406
LBN Legal business name Imanguli, Matin Mikayil
Credentials MD, DDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Dec 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114065406 NPPES
Virginia Other 542034392 TAX IDENTIFICATION
Virginia Other 113660124 TAX IDENTIFICATION
Virginia Other 841629676 TAX IDENTIFICATION

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