Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SAMIR MATAR, M.D
Deactivated Sole ProprietorDR. MICHAEL SAMIR MATAR, M.D is a Family Medicine healthcare provider located in SOUTH LYON, Michigan. NPI 1174938658 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH LYON, MI
This NPI has been deactivated.
The record was deactivated on January 29, 2015.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174938658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2014 (0.6 yrs)
- Last Updated
- Feb 20, 2015
- Deactivated
- Jan 29, 2015
- License
-
4301105952 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 N LAFAYETTE STREETSOUTH LYON, MI, 48178Browse MI providers · Browse ZIP 48178
- Phone
- 2484371744
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SOUTH LYON, MI
| Name | Credential | NPI |
|---|---|---|
| DENISE HILLARD BALON | MD | 1861494965 |
| STACEY LYN BARTELL | MD | 1669476933 |
| DR. PATRICK R BRENNAN | D.O. | 1770582793 |
| PROMITA ROYCHOUDHURY | MD | 1083614002 |
| MARTHA MARY RUMSCHLAG | MD | 1447251368 |
| CHEROLEE RICKEY TREMBATH | MD | 1346241239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.