| Doctor Name: | MRS. TANIA MILAD MATTA |
| NPI Number: | 1922027168 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01060593 |
| Business Practice Address: | 3950 Keene Road West Richland, WA - 99353 |
| Business Phone Number: | 5099423130 |
| Business Fax Number: | 5096288335 |
| Mailing Address: | 3900 S Zintel Way, KENNEWICK |
| State: | WA |
| Postal Code: | 99338 |
| Phone Number: | 5099423627 |
| Fax Number: | 5099422268 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 01060593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who 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. |