Angela Fay Mata is a Pediatrics in Detroit, Michigan. Angela Fay Mata practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Angela Fay Mata is 1366623704. The last update date is 2014-06-25.
Angela Fay Mata's current location address is 22201 Moross Rd Ste 270, Detroit, Michigan. You can contact this provider via phone number 3133433481 and fax number 3133437937. The mailing address for Angela Fay Mata is 22201 Moross Rd Ste 270, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Fay Mata |
|---|---|
| Address | 22201 Moross Rd Ste 270, Detroit, Michigan |
| Phone Number | 3133433481 |
| Fax Number | 3133437937 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366623704 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 22201 Moross Rd Ste 270 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482362175 |
| Phone Number | 3133433481 |
| Fax Number | 3133437937 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301086164 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53325 | OH | -- | |
| 0H208910 | MI | BLUE CROSS GROUP | |
| 9761739 | OH | AETNA | |
| 7249 | OH | PARAMOUNT | |
| 72300 | OH | MERIDIAN |
Post Comment/ Review Below
What is the unique identification code assigned to Angela Fay Mata by the Centers for Medicare & Medicaid Services?
The Angela Fay Mata has been issued the NPI (National Provider Identifier) 1366623704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Angela Fay Mata is located?
The Angela Fay Mata is situated at the following address: 22201 Moross Rd Ste 270, Detroit, MI, 482362175.
What is Angela Fay Mata's area of expertise and its corresponding taxonomy classification?
The Angela Fay Mata's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1366623704 to Angela Fay Mata?
The Angela Fay Mata received its 1366623704 assignment from the Centers for Medicare & Medicaid Services on 2007-11-14.
As of what date were the details pertaining to Angela Fay Mata last refreshed?
The information related to the Angela Fay Mata, including its address, specialty, and other relevant details, was last updated on 2014-06-25.