SRAVAN KUMAR REDDY MATTA MD – NPI #1417396813
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

SRAVAN KUMAR REDDY MATTA is a physician located in ROSEVILLE, CA. NPPES has assigned the NPI number 1417396813 to SRAVAN KUMAR REDDY MATTA on June 19, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 7 years ago on Aug 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SRAVAN KUMAR REDDY MATTA below.

NPI Profile for
SRAVAN KUMAR REDDY MATTA

NPI Number
1417396813
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SRAVAN KUMAR REDDY MATTA
Credentials
MD
Primary location
1600 EUREKA RD
ROSEVILLE, CA 95661
Phone: (916) 474-2250 Fax:
1 Other location(s):
111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-5000
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
CA A163936

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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