Dr Shakti K Matta, MBBS, DCH, MD, FAAP - Pediatrics in Kennewick, WA

Dr Shakti K Matta, MBBS, DCH, MD, FAAP is a Pediatrics physician based in Kennewick, Washington. Dr Shakti K Matta is licensed to practice in Washington (license number MD00035969) and his current practice location is 6802 W Rio Grande Ave Ste 1, Kennewick, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 572-2201.

NPI number for Dr Shakti K Matta is 1679652135 and his current mailing address is 6802 W Rio Grande Ave Ste 1, Kennewick, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679652135.

Contact Information

Dr Shakti K Matta, MBBS, DCH, MD, FAAP
6802 W Rio Grande Ave Ste 1,
Kennewick, WA 99336-7684
(509) 572-2201
(509) 783-8844



Physician's Profile

Full NameDr Shakti K Matta
GenderMale
SpecialityPediatrics
Location6802 W Rio Grande Ave Ste 1, Kennewick, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679652135
  • Provider Enumeration Date: 11/03/2006
  • Last Update Date: 09/18/2012

Medical Identifiers

Medical identifiers for Dr Shakti K Matta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679652135NPI-NPPES
0124991OtherWAWA STATE DL&I #
8227530MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00035969 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shakti K Matta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shakti K Matta, MBBS, DCH, MD, FAAP
6802 W Rio Grande Ave Ste 1,
Kennewick, WA 99336-7684

Ph: (509) 572-2201
Dr Shakti K Matta, MBBS, DCH, MD, FAAP
6802 W Rio Grande Ave Ste 1,
Kennewick, WA 99336-7684

Ph: (509) 572-2201

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› Verified 8 days ago


Pediatrics Doctors in Kennewick, WA

Dr. Ivan S Guevara, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 320 W 10th Ave Ste 102, Kennewick, WA 99336
Phone: 509-221-5910    Fax: 509-221-5912
Mahmoud Adeeb Ah Hamdan,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 721 S Auburn St, Kennewick, WA 99336
Phone: 509-547-2204    Fax: 509-542-8836
Sonika Loona, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8108 W Grandridge Blvd, Kennewick, WA 99336
Phone: 509-942-3264    Fax: 509-735-5382
Scott Terry, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3180 W Clearwater Ave Ste A, Kennewick, WA 99336
Phone: 509-547-2204    Fax: 509-545-3960
Dr. Nikom Wannarachue, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 721 S Auburn St, Kennewick, WA 99336
Phone: 509-586-1157    Fax: 509-582-4189
Gwendolyn G Gavino, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7211 W Deschutes Ave, Ste. E, Kennewick, WA 99336
Phone: 509-735-9239    Fax: 509-735-9310
Glenn N. Ello, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4309 W 27th Pl, Suite 301, Kennewick, WA 99338
Phone: 509-222-2231    Fax: 509-222-2232

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