Provider Demographics
NPI:1275543472
Name:DELPHIA, MAUREEN ANNETTE (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANNETTE
Last Name:DELPHIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3620 N HIGH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3611
Mailing Address - Country:US
Mailing Address - Phone:614-224-8062
Mailing Address - Fax:614-224-5434
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3611
Practice Address - Country:US
Practice Address - Phone:614-224-8062
Practice Address - Fax:614-224-5434
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350558622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0875763Medicaid
OH0724692Medicare PIN
OHE85501Medicare UPIN