Individual
ANGELA FAY MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 270, DETROIT, MI 48236-2175
(313) 343-3481
(313) 343-7937
Mailing address
22201 MOROSS RD STE 270, DETROIT, MI 48236-2175
(313) 343-3481
(313) 343-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35097933
OH
208000000X
Pediatrics Physician
Primary
4301086164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053325
—
OH
01
—
07249
PARAMOUNT
OH
01
—
0H208910
BLUE CROSS GROUP
MI
01
—
72300
MERIDIAN
OH
01
—
9761739
AETNA
OH
Enumeration date
11/14/2007
Last updated
06/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us