Healthcare Provider Details

I. General information

NPI: 1952097420
Provider Name (Legal Business Name): BESAR MATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ALLEN PKWY
OXFORD AL
36203-1944
US

IV. Provider business mailing address

PO BOX 1380
ANNISTON AL
36202-1380
US

V. Phone/Fax

Practice location:
  • Phone: 256-831-7100
  • Fax: 256-831-7191
Mailing address:
  • Phone: 256-235-5639
  • Fax: 256-231-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number54449
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: