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1528267077

NPI Code Detail

MEDICARE: MATEEN M HOTIANA M.D

MEDICARE: MATEEN M HOTIANA M.D

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
1	207R00000X	Internal Medicine Physician	22887	WV
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35120030	OH
3	207R00000X	Internal Medicine Physician	TMP-01816	WV
4	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	LT-4345	NH
5	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	22887	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528267077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATEEN M HOTIANA M.D

Provider Business Mailing Address
First Line	:	1448 10TH AVE STE 304
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3579
Country	:	US
Telephone Number	:	304-691-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1249 15TH ST STE 3000
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3663
Country	:	US
Telephone Number	:	304-691-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2007
Last Update Date	:	08/08/2023

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Directions to “ MATEEN M HOTIANA M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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