TEJ K. MATTOO M.D. – NPI #1790722353
Pediatrics

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

TEJ MATTOO is a physician located in DETROIT, MI. NPPES has assigned the NPI number 1790722353 to TEJ MATTOO on June 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology

The NPI profile was previously updated about 7 years ago on Jul 25, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TEJ MATTOO below.

NPI Profile for
TEJ K. MATTOO

NPI Number
1790722353
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TEJ K. MATTOO
Credentials
M.D.
Primary location
CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD - NEPHROLOGY
DETROIT, MI 48201
Phone: (313) 745-5604 Fax: (313) 966-0039
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226
UNIVERSITY PEDIATRICIANS
DETROIT, MI 48201-2153
Phone: (313) 745-4405 Fax: (313) 966-0665
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0210X
- Pediatrics / Pediatric Nephrology (Primary)
MI 068731

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.