Healthcare Provider Details

I. General information

NPI: 1992097760
Provider Name (Legal Business Name): MATTHEW OSHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30150 TELEGRAPH RD STE 355
BINGHAM FARMS MI
48025-5729
US

IV. Provider business mailing address

30150 TELEGRAPH RD STE 355
BINGHAM FARMS MI
48025-5729
US

V. Phone/Fax

Practice location:
  • Phone: 248-308-2745
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301099188
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: