DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JATIN R MATTA, PA-C, MPAS

Active Sole Proprietor

MR. JATIN R MATTA, PA-C, MPAS is a Physician Assistant healthcare provider located in LARGO, Maryland. NPI 1316232135 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LARGO, MD

Registration Details

NPI Number
1316232135
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2011 (15.169737922839 yrs)
Last Updated
Jun 9, 2011
Licenses
C0002229 (MD)
PA30146 (DC)
Sole Proprietor
Yes

Practice Information

Address
1450 MERCANTILE LN
SUITE 217
LARGO, MD, 207745376
Browse MD providers · Browse ZIP 20774
Phone
3015837770
Fax
3015839414
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LARGO, MD

Name Credential NPI
FELICIA C ELVIS PA 1033100391
LINDA UWANAKA EBONINE PA-C 1972897767
TARA JANEN MAHAN PA 1033496476
JOHN PATRICK CUENCA 1770118895
DAVID STONER 1932862661
CHRISTOPHER MARK WANKA 1942967856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.