Provider Demographics
NPI:1235194556
Name:MASLOW, ELIZABETH R (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:R
Last Name:MASLOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10466 PEARSON PL
Mailing Address - Street 2:
Mailing Address - City:SHADOW HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91040-1625
Mailing Address - Country:US
Mailing Address - Phone:818-653-1137
Mailing Address - Fax:818-951-3463
Practice Address - Street 1:10466 PEARSON PL
Practice Address - Street 2:
Practice Address - City:SHADOW HILLS
Practice Address - State:CA
Practice Address - Zip Code:91040-1625
Practice Address - Country:US
Practice Address - Phone:818-653-1137
Practice Address - Fax:818-951-3463
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75445207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG274940Medicare UPIN