Provider Demographics
NPI:1457300725
Name:RUEDA, MARIA F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:F
Last Name:RUEDA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6700 BAUM DR
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7344
Mailing Address - Country:US
Mailing Address - Phone:865-584-5727
Mailing Address - Fax:865-450-9904
Practice Address - Street 1:11546 CHAPMAN HWY
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5044
Practice Address - Country:US
Practice Address - Phone:865-573-5252
Practice Address - Fax:865-286-1169
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2007-07-31
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Provider Licenses
StateLicense IDTaxonomies
TNMD38619207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3897898Medicare PIN