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Contact Information

MAHENDRA K MATTA, MD
10496 MONTGOMERY RD
SUITE 204
CINCINNATI, OH45242-5223
 Phone: 513-793-9835
 Fax: 513-793-9837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MAHENDRA K MATTA · (Male)

NPI # 1518936814
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 01/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-04263
  • OH Medicaid 0384221
  • OH Other 310983038 AETNA PROVIDER
  • OH Other 000000009386 ANTHEM PROVIDER
  • OH Other 310983038 CIGNA PROVIDER
  • OH Other 1720085 UNITED HEALTHCARE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • MERCY HOSPITAL FAIRFIELD - (Acute Care)
    3000 MACK ROAD
    FAIRFIELD, OH 45014
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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