Nekzad, Matin

Nekzad, Matin is an individual health care provider with primary practice located at 1006 S Division St , Carterville IL 62918-1539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nekzad, Matin can be contacted via phone (618) 985-4841.

Contact Information

Primary practice address
1006 S Division St Carterville IL 62918-1539
Phone: (618) 985-4841
Fax: (618) 985-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X 036.098147 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098147 Illinois

Profile Details

NPI number 1679548689
LBN Legal business name Nekzad, Matin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679548689 NPPES
Illinois MEDICAID 036098147
Illinois Other CF3444
Illinois MEDICAID 370966854004

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