Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Fay Mata, MD

Individual provider Pediatrics Physician · NPI 1366623704

Angela Fay Mata, MD is a Pediatrics Physician in Detroit, Michigan. Licensed in Michigan and Ohio. Registered with an NPI since 2007.

Licensed in
MI, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22201 Moross Rd Ste 270
Detroit, MI 48236-2175
Phone: (313) 343-3481
Fax: (313) 343-7937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301086164 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 35097933 (OH)

Record details

NPI number1366623704
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESJune 25, 2014

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