Maia, Diane

Maia, Diane is an individual health care provider with primary practice located at 150 Kingsley Lane , Norfolk VA 23505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Maia, Diane can be contacted via phone (757) 889-5146.

Contact Information

Primary practice address
150 Kingsley Lane Norfolk VA 23505
Fax: (757) 889-5948
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101226182 Virginia

Profile Details

NPI number 1194781468
LBN Legal business name Maia, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194781468 NPPES
Virginia MEDICAID 6607195

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