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Contact Information

O L MATTHEWS, MD
29201 TELEGRAPH RD
SUITE 400
SOUTHFIELD, MI48034
 Phone: 248-949-9888
 Fax: 248-325-5998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for O L MATTHEWS · (Male)

NPI # 1225096050
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 10/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 207R00000X
  • MI License # 4301038649
  • MI Medicaid 1805767
  • MI Other 0608226582 BCBS
  • MI Other 068820033 BCBS FEP - INKSTER
  • MI Other 0668200330 BCBSM - INKSTER
  • MI Other P9074 BLUE CARE NETWORK
  • MI Other 000000001262 CAPE MEDICAL
  • MI Other 00000001262A CAPE MEDICAL - INKSTER
  • MI Other 505724 CARE CHOICES
  • MI Other 124114 GREAT LAKES HEALTH PLAN
  • MI Other 47040 OMINCARE - INKSTER
  • MI Other 382418536 OMNI HEALTH PLAN
Hospital affiliation(s)
  • HARPER UNIVERSITY HOSPITAL - (Acute Care)
    3990 JOHN R STREET
    DETROIT, MI 48201
  • OAKWOOD ANNAPOLIS HOSPITAL - (Acute Care)
    33155 ANNAPOLIS AVE
    WAYNE, MI 48184
  • OAKWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    18101 OAKWOOD BLVD
    DEARBORN, MI 48124
  • SINAI-GRACE HOSPITAL - (Acute Care)
    6071 W OUTER DRIVE
    DETROIT, MI 48235
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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