Organization
COLON & RECTAL DISEASE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA MATTA MD (OWNER)
(513) 793-9835
Entity
Organization
Contact information
Practice address
10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 45242-5220
(513) 793-9835
(513) 793-9837
Mailing address
10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 45242-5220
(513) 793-9835
(513) 793-9837
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
01/07/2015
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