Individual
DR. ABHISHEK MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13620
ND
207R00000X
Internal Medicine Physician
6866
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
46176
OK
208M00000X
Hospitalist Physician
13620
ND
Other
Enumeration date
07/28/2012
Last updated
09/23/2025
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