Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIAM BASIL MATI, MD
Active Sole ProprietorMARIAM BASIL MATI, MD is a Geriatric Medicine healthcare provider located in DECATUR, Georgia. NPI 1568094951 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · DECATUR, GA
Registration Details
- NPI Number
- 1568094951
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2020 (6.5487678795494 yrs)
- Last Updated
- Aug 30, 2021
- License
-
89811 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2675 N DECATUR RDDECATUR, GA, 300336131Browse GA providers · Browse ZIP 30033
- Phone
- 4045012900
- Primary Specialty
-
Geriatric Medicine
207QG0300X
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.