Pardeep K. Matta

Pharmacist · Highland, NY

Individual Active NPI

NPI number 1710170923

Practice location

3650 Route 9w
Highland, NY 12528-2033
Phone
(845) 691-9155

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NPI record

NPI
1710170923
Entity type
Individual (Type 1)
Enumeration date
August 21, 2007
Last updated
August 21, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 045954 NY

Mailing address

PO Box 1000
Ms 3000
Portland, ME 04104-5005

About Pardeep Matta

Pardeep K. Matta is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3650 Route 9w, Highland, NY 12528-2033. The NPI number 1710170923 was assigned on August 21, 2007 and the record was last updated on August 21, 2007.

Pardeep Matta lists a license in the registry: #045954 (NY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Pardeep K. Matta?

The NPI number is 1710170923.

What is the phone number of Pardeep Matta?

The phone number listed for the practice location is (845) 691-9155.

Where is Pardeep Matta located?

3650 Route 9w, Highland, NY 12528-2033.

What is the taxonomy code for Pardeep Matta?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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