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
Phone: (509) 942-3130
Fax: (509) 628-8335
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922027168 | NPPES |
Washington | MEDICAID | 8493512 | |
Washington | MEDICAID | 200527760 |
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