FAZLE MATIN MD
NPI 1053452417
Pediatrics in Tuskegee, AL

Active since February 09, 2007
203 WEST LEE STREET, TUSKEGEE, AL 36083(334) 727-7050(334) 727-6284 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fazle Matin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAZLE MATIN MD (NPI 1053452417) is an individual pediatrics provider in Tuskegee, Alabama, licensed in Alabama (00022310) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053452417
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameFAZLE MATINCredential: MD
Location Address203 WEST LEE STREETTuskegee, AL 36083
Mailing Address203 West Lee StreetTuskegee, AL 36083 · (334) 727-7050 · Fax (334) 727-6284
Fax(334) 727-6284
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053452417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AL · 00022310
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
203 WEST LEE STREET, Tuskegee, AL 36083

Other Identifiers 4

Other51005213AL · Bc
Medicaid631000021AL
Medicare ID-Type Unspecified05213AL
Medicare UPINB85689

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
203 WEST LEE STREET
TUSKEGEE, AL 36083
Pharmacy Technician
203 WEST LEE STREET
TUSKEGEE, AL 36083
Internal Medicine
203 WEST LEE STREET
TUSKEGEE, AL 36083
Family Medicine
203 WEST LEE STREET
TUSKEGEE, AL 36083
Family Medicine
203 WEST LEE STREET
TUSKEGEE, AL 36083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fazle Matin's NPI number?

The NPI number for Fazle Matin is 1053452417. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Fazle Matin located?

Fazle Matin practices at 203 West Lee Street, Tuskegee, AL 36083. The listed phone number is (334) 727-7050.

What is Fazle Matin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Fazle Matin accept?

Health plans from Blue Cross and Blue Shield of Alabama list Fazle Matin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fazle Matin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.