Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA FAY MATA, MD
ActiveANGELA FAY MATA, MD is a Pediatrics healthcare provider located in DETROIT, Michigan. NPI 1366623704 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · DETROIT, MI
Registration Details
- NPI Number
- 1366623704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2007 (18.704589033662 yrs)
- Last Updated
- Jun 25, 2014
- Licenses
-
4301086164 (MI)35097933 (OH)
Practice Information
- Address
-
22201 MOROSS RD STE 270DETROIT, MI, 482362175Browse MI providers · Browse ZIP 48236
- Phone
- 3133433481
- Fax
- 3133437937
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| VALDA L BYRD | M.D. | 1760489561 |
| KAREN A ALTON | MD | 1649264037 |
| MARIA L DUENAS | MD | 1295729580 |
| DR. MARCUS E DEGRAW | MD | 1750375002 |
| BASEL HAMZEH | MD | 1790779080 |
| DOUGLAS K ZIEGLER | MD | 1689668816 |
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.