Provider Type Icon

STEPHANY KHALIL MATTA M.D NPI 1518334515


NPI Information

NPI: 1518334515
Provider Name: STEPHANY KHALIL MATTA, M.D
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
905 UNION ST STE 11
BANGOR, ME
ZIP 04401
Phone: (207) 973-8423
Get Directions

Stephany Khalil Matta, M.D is an endocrinology and diabetes and metabolism internal medicine in Bangor, ME with 11 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Stephany Khalil Matta, M.D NPI is 1518334515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

905 UNION ST STE 11
BANGOR, ME
ZIP 04401-039
Phone: (207) 973-8423
Fax: (207) 973-7424

The NPI 1518334515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2015 and was last updated on 3/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism264574MASSACHUSETTSNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMD24165MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.