Kenneth Matasar in Royal Oak - Diagnostic Radiology
Kenneth Matasar - NPI 1689634461
Kenneth Matasar is a Diagnostic Radiology in Royal Oak, Michigan. Kenneth Matasar practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth Matasar is 1689634461. The last update date is 2007-07-08.
Kenneth Matasar's current location address is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can contact this provider via phone number 2488986067. The mailing address for Kenneth Matasar is 3601 W 13 Mile Rd, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Matasar |
|---|---|
| Address | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Phone Number | 2488986067 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689634461 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3601 W 13 Mile Rd |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480736712 |
| Phone Number | 2488986067 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 4301032306 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1577939 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Matasar by the Centers for Medicare & Medicaid Services?
The Kenneth Matasar has been issued the NPI (National Provider Identifier) 1689634461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth Matasar's physical address?
The Kenneth Matasar is physically located at 3601 W 13 Mile Rd, in the city of Royal Oak, MI, with the postal code 480736712.
What is Kenneth Matasar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Matasar is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Kenneth Matasar receive its 1689634461 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Matasar was assigned its 1689634461 by the Centers for Medicare & Medicaid Services on 2006-03-24.
When was the information regarding Kenneth Matasar, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Matasar, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.