Back to Search
FIDEL MATA, P.A.
P.A.
Medical Physician Assistant
NPI: 1558445924IndividualAccepts Medicare
Specialties, Licenses & Credentials
Cardiovascular Disease Physician
Internal Medicine — Cardiovascular Disease
Code: 207RC0000X
085.002235(IL)
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
085-002235(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2002
Contact & Hours
Via practice · 2 locations total
- Address
- 1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521 - Phone
- (217) 422-6100
Quick Facts
- NPI
- 1558445924
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 24
Are you this provider?
Claim Your Profile