Fazle Matin, MD is a
Pediatrics physician based in Tuskegee, Alabama. Fazle Matin is licensed to practice in Alabama (license number 00022310) and his current practice location is 203 West Lee Street, Tuskegee, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 727-7050.
NPI number for Fazle Matin is 1053452417 and his current mailing address is 203 West Lee Street, Tuskegee, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053452417.
Physician's Profile
| Full Name | Fazle Matin |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 203 West Lee Street, Tuskegee, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053452417
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Fazle Matin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053452417 | NPI | - | NPPES |
| 51005213 | Other | AL | BC |
| 631000021 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 00022310 (Alabama) | 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. Fazle Matin 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 Address | Practice Location Address |
|---|
Fazle Matin, MD
203 West Lee Street,
Tuskegee, AL 36083
Ph: (334) 727-7050 | Fazle Matin, MD
203 West Lee Street,
Tuskegee, AL 36083
Ph: (334) 727-7050 |
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