IndividualActive
Adnan Matta, MD
NPI 1841242815 · Vascular Surgery Physician · Warren, MI
Provider details
- NPI number
- 1841242815
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- AM034389 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4090 E 14 Mile Rd Ste 100
Warren, MI 48092-1196
Phone: (586) 858-4111
Fax: (586) 858-4641
Approximate (ZIP-level) locationGet directions
Mailing address
4090 E14 Mile Rd Ste 100
Warren, MI 48092-1196
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2025-01-16
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.