| Dr Ambar Matta, MD | |
|
2945 S Dobson Rd, Mesa, AZ 85202-7941 | |
| (480) 969-4138 | |
| (480) 969-0630 |
| Full Name | Dr Ambar Matta |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2945 S Dobson Rd, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730474115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101258628 (Virginia) | Secondary |
| 208600000X | Surgery | 57.015725 (Ohio) | Secondary |
| 208600000X | Surgery | 58734 (Arizona) | Primary |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Entity Name | Dhp Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992060255 PECOS PAC ID: 8820247752 Enrollment ID: O20121009000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ambar Matta, MD 2320 N 3rd St, Phoenix, AZ 85004-1303 Ph: (602) 258-9900 | Dr Ambar Matta, MD 2945 S Dobson Rd, Mesa, AZ 85202-7941 Ph: (480) 969-4138 |
Dr. Raul A. Lopez Gonzalez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5555 E Baseline Rd, Mesa, AZ 85206 Phone: 480-393-0575 | |
Dr. Brandon Jamal Anderson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6111 E Arbor Ave, Mesa, AZ 85206 Phone: 480-981-1326 Fax: 480-981-1445 | |
Dr. David Curtis Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10031 E Kilarea Ave, Mesa, AZ 85209 Phone: 480-332-6240 Fax: 480-323-2858 | |
Shaili Gal, MD Surgery Medicare: Medicare Enrolled Practice Location: 2250 W Southern Ave Ste 102, Mesa, AZ 85202 Phone: 480-835-5532 | |
Dr. Wayne Truong, MD, PHD, FRCSC Surgery Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd, Suite 301, Mesa, AZ 85202 Phone: 480-412-9400 Fax: 480-412-9401 | |
Rita Sandler, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3640 N Eagle Cyn, Mesa, AZ 85207 Phone: 480-545-2610 Fax: 480-545-2673 | |
Dr. Mitar Vranic, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7165 E University Dr Ste 183, Mesa, AZ 85207 Phone: 480-668-5000 Fax: 480-668-5065 |