Provider Demographics
NPI:1386856540
Name:LITTAUA, MARIA CHRISTINA R (MD)
Entity Type:Individual
Prefix:
First Name:MARIA CHRISTINA
Middle Name:R
Last Name:LITTAUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA CHRISTINA
Other - Middle Name:
Other - Last Name:REYES-LITTAUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2450 OLD BRICK RD APT 1335
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5999
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1401 JOHNSTON WILLIS DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4730
Practice Address - Country:US
Practice Address - Phone:804-483-6510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246175208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
1957855OtherBS
1398027OtherBS
PA1019723290001Medicaid
VA1386856540Medicaid
VA020681S00OtherMEDICARE
1398027OtherBS
1957855OtherBS
PA1019723290001Medicaid
060201Medicare PIN