Provider Demographics
NPI:1073606208
Name:AMADO, MARIA F (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:F
Last Name:AMADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23388 MULHOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2733
Mailing Address - Country:US
Mailing Address - Phone:818-876-1624
Mailing Address - Fax:818-876-0436
Practice Address - Street 1:23388 MULHOLLAND DR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2733
Practice Address - Country:US
Practice Address - Phone:818-876-1624
Practice Address - Fax:818-876-0436
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A508840OtherBLUE SHIELD
F31501Medicare UPIN
CAWA50884HMedicare ID - Type Unspecified
CAWA50884DMedicare ID - Type Unspecified
CAWA50884GMedicare ID - Type Unspecified
CAWA50884EMedicare ID - Type Unspecified
CAWA50884FMedicare ID - Type Unspecified