Provider Demographics
NPI:1164282232
Name:CHAVEZ RODRIGUEZ, MARIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:
Last Name:CHAVEZ RODRIGUEZ
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 1:725 NORTH STREET
Mailing Address - Street 2:DEPT. OF SURGERY WARRINER, 3RD FLOOR
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-395-7916
Mailing Address - Fax:413-447-2766
Practice Address - Street 1:725 NORTH STREET
Practice Address - Street 2:DEPT. OF SURGERY WARRINER, 3RD FLOOR
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-395-7916
Practice Address - Fax:413-447-2766
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program