Mrs. Tania Milad Matta
MD | Pediatric Adolescent Medicine | Female
Mrs. Tania Milad Matta, MD is a West Richland, Washington based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mrs. Tania Milad Matta is
3950 Keene Road, West Richland, Washington - 99353. She can be contacted on phone at
509-942-3130 and fax number 509-628-8335.
Mrs. Tania Milad Matta is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Tania Milad Matta is
1922027168 which was assigned by NPPES on 19 Jul, 2006 and it was last updated on 17 Jun, 2021.
Mrs. Tania Milad Matta license number is
MD00048517 for Pediatrics Adolescent Medicine (2080A0000X) in Washington.
Mrs. Tania Milad Matta specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mrs. Tania Milad Matta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mrs. Tania Milad Matta |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mrs. Tania Milad 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 : | 3950 Keene Road
West Richland, WA, 99353
United States |
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| Phone Number : | 509-942-3130 |
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| Fax Number : | 509-628-8335 |
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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 : | 1922027168 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2006 |
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| Last Updated On : | 17 Jun, 2021 |
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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 Mrs. Tania Milad Matta are as mentioned. Primary taxonomy code for Mrs. Tania Milad Matta, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD00048517 | WA |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 01060593 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Tania Milad Matta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8493512 | MEDICAID | WA | |
| 200527760 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tmatta1107721@wm.providencedirect.org
| No affiliation | DIRECT
Direct
|
| 3950 KEENE ROAD,
WEST RICHLAND, WA, 99353
United States |
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 : | 3900 S Zintel Way
Kennewick, WA, 99338
United States |
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| Phone Number : | 509-942-3627 |
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| Fax Number : | 509-942-2268 |
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Business Location:
Patients can refer following map for directions to
Mrs. Tania Milad 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. Last updated on 08 January, 2024.