Provider Demographics
NPI:1801850367
Name:MATTA, NARESH (MD)
Entity Type:Individual
Prefix:DR
First Name:NARESH
Middle Name:
Last Name:MATTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:875 GREENLAND RD
Mailing Address - Street 2:#C-10
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4164
Mailing Address - Country:US
Mailing Address - Phone:603-436-3433
Mailing Address - Fax:603-427-5115
Practice Address - Street 1:875 GREENLAND RD
Practice Address - Street 2:#C-10
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4164
Practice Address - Country:US
Practice Address - Phone:603-436-3433
Practice Address - Fax:603-427-5115
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2012-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH9841207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology