Zlaket Matta, Grace

Zlaket Matta, Grace is an individual health care provider with primary practice located at 9336 E Raintree Dr Ste150, Scottsdale AZ 85260-7322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Zlaket Matta, Grace can be contacted via phone (480) 219-5597.

Contact Information

Primary practice address
9336 E Raintree Dr Ste150 Scottsdale AZ 85260-7322
Phone: (480) 219-5597
Fax: (480) 219-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23480 Arizona

Profile Details

NPI number 1679564512
LBN Legal business name Zlaket Matta, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 13th, 2011 - about 14 years ago

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 1679564512 NPPES
Arizona MEDICAID 326480

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