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NPI Code Detail

MEDICARE: RASHA MATTI

MEDICARE: RASHA MATTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS026671AZ

General Provider Information

NPI Number : 1467230110
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHA MATTI
Provider Business Mailing Address
First Line : 4134 N 44TH ST APT 2151
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-4217
Country : US
Telephone Number : 602-954-9119
Fax Number :
Provider Business Practice Location Address
First Line : 4134 N 44TH ST APT 2151
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-4217
Country : US
Telephone Number : 602-954-9119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 09/14/2023

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Directions to “ RASHA MATTI ” Practice Location

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