Matta, Tania Milad

Matta, Tania Milad is an individual health care provider with primary practice located at 3950 Keene Road , West Richland WA 99353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Matta, Tania Milad can be contacted via phone (509) 942-3130.

Contact Information

Primary practice address
3950 Keene Road West Richland WA 99353
Fax: (509) 628-8335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 01060593 Indiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00048517 Washington

Profile Details

NPI number 1922027168
LBN Legal business name Matta, Tania Milad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922027168 NPPES
Washington MEDICAID 8493512
Washington MEDICAID 200527760

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