Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadi Daniel Mattar, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770286718

Shadi Daniel Mattar, DPM is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone: (866) 974-2673
Fax: (866) 939-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD-001161 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770286718
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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