Provider Demographics
NPI:1477557171
Name:DARR, MARIA A (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:DARR
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 1:718 N LINCOLN ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-1349
Mailing Address - Country:US
Mailing Address - Phone:812-662-0404
Mailing Address - Fax:812-662-0135
Practice Address - Street 1:718 N LINCOLN ST STE B
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1349
Practice Address - Country:US
Practice Address - Phone:812-662-0404
Practice Address - Fax:812-662-0135
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054435A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200337510AMedicaid
IN01054435AOtherLICENSE
ING30309Medicare UPIN