Raphael Josy Mattamal
M.D. | Pediatrics | Male
Raphael Josy Mattamal, M.D. is a Amarillo, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Raphael Josy Mattamal is
1400 S Coulter St, Amarillo, Texas - 79106-1786. He can be contacted on phone at
806-414-9800 and fax number 806-354-5689.
Raphael Josy Mattamal is a sole proprietor of his business.
NPI number (Unique professional ID) for Raphael Josy Mattamal is
1679993034 which was assigned by NPPES on 23 Apr, 2014 and it was last updated on 23 Feb, 2018.
Raphael Josy Mattamal license number is
R4092 for Pediatrics (208000000X) in Texas.
Raphael Josy Mattamal 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:
Raphael Josy Mattamal basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Raphael Josy Mattamal |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Raphael Josy Mattamal 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 : | 1400 S Coulter St
Amarillo, TX, 79106-1786
United States |
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| Phone Number : | 806-414-9800 |
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| Fax Number : | 806-354-5689 |
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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 : | 1679993034 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Apr, 2014 |
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| Last Updated On : | 23 Feb, 2018 |
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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 Raphael Josy Mattamal are as mentioned. Primary taxonomy code for Raphael Josy Mattamal, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | R4092 | TX |
| 208000000X | Pediatrics | No | 45997 | TX |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 582589 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Raphael Josy Mattamal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200725100A | MEDICAID | OK | |
| 374825301 | MEDICAID | TX | |
| 73172511 | MEDICAID | NM | |
| 374825302 | MEDICAID | TX | |
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 : | 1400 Wallace Blvd
Amarillo, TX, 79106-1708
United States |
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| Phone Number : | 806-414-9800 |
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| Fax Number : | 806-354-5689 |
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Business Location:
Patients can refer following map for directions to
Raphael Josy Mattamal practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.