Angela Fay Mata
MD | Pediatrics | Female
Angela Fay Mata, MD is a Detroit, Michigan based Pediatric doctor with medical specialization in
General Pediatrics. Angela Fay Mata is also known as
Angela Fay Mata-angelocci.
Current practice location of Angela Fay Mata is
22201 Moross Rd Ste 270, Detroit, Michigan - 48236-2175. She can be contacted on phone at
313-343-3481 and fax number 313-343-7937.
Angela Fay Mata is a sole proprietor of her business.
NPI number (Unique professional ID) for Angela Fay Mata is
1366623704 which was assigned by NPPES on 14 Nov, 2007 and it was last updated on 25 Jun, 2014.
Angela Fay Mata license number is
4301086164 for Pediatrics (208000000X) in Michigan.
Angela Fay Mata is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Angela Fay Mata basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Angela Fay Mata |
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| Other Name : | Angela Fay Mata-angelocci |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Angela Fay Mata address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 22201 Moross Rd Ste 270
Detroit, MI, 48236-2175
United States |
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| Phone Number : | 313-343-3481 |
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| Fax Number : | 313-343-7937 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366623704 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Nov, 2007 |
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| Last Updated On : | 25 Jun, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela Fay Mata are as mentioned. Primary taxonomy code for Angela Fay Mata, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35097933 | OH |
| 208000000X | Pediatrics | Yes | 4301086164 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Angela Fay Mata such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 07249 | Other | OH | PARAMOUNT |
| 0H208910 | Other | MI | BLUE CROSS GROUP |
| 9761739 | Other | OH | AETNA |
| 72300 | Other | OH | MERIDIAN |
| 0053325 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 22201 Moross Rd Ste 270
Detroit, MI, 48236-2175
United States |
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| Phone Number : | 313-343-3481 |
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| Fax Number : | 313-343-7937 |
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Business Location:
Patients can refer following map for directions to
Angela Fay Mata practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.