Dr. Shakti K Matta
MBBS, DCH, MD, FAAP | Pediatrics | Male
Dr. Shakti K Matta, MBBS, DCH, MD, FAAP is a Kennewick, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shakti K Matta is
6802 W Rio Grande Ave Ste 1, Kennewick, Washington - 99336-7684. He can be contacted on phone at
509-572-2201 and fax number 509-783-8844.
Dr. Shakti K Matta is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shakti K Matta is
1679652135 which was assigned by NPPES on 03 Nov, 2006 and it was last updated on 18 Sep, 2012.
Dr. Shakti K Matta license number is
MD00035969 for Pediatrics (208000000X) in Washington.
Dr. Shakti K Matta 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:
Dr. Shakti K Matta basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shakti K Matta |
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| Credential : | MBBS, DCH, MD, FAAP |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Shakti K Matta 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 : | 6802 W Rio Grande Ave Ste 1
Kennewick, WA, 99336-7684
United States |
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| Phone Number : | 509-572-2201 |
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| Fax Number : | 509-783-8844 |
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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 : | 1679652135 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2006 |
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| Last Updated On : | 18 Sep, 2012 |
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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 Dr. Shakti K Matta are as mentioned. Primary taxonomy code for Dr. Shakti K Matta, MBBS, DCH, MD, FAAP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD00035969 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shakti K Matta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0124991 | Other | WA | WA STATE DL&I # |
| 8227530 | MEDICAID | WA | |
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 : | 6802 W Rio Grande Ave Ste 1
Kennewick, WA, 99336-7684
United States |
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| Phone Number : | 509-572-2201 |
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| Fax Number : | 509-783-8844 |
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Business Location:
Patients can refer following map for directions to
Dr. Shakti K Matta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.