Provider Demographics
NPI:1477570448
Name:NATIVIDAD, MARIA BELLA G (MD)
Entity Type:Individual
Prefix:
First Name:MARIA BELLA
Middle Name:G
Last Name:NATIVIDAD
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 1:3801 FAIRFAX DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1762
Mailing Address - Country:US
Mailing Address - Phone:703-527-0333
Mailing Address - Fax:703-527-5483
Practice Address - Street 1:3801 FAIRFAX DR
Practice Address - Street 2:SUITE 11
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-527-0333
Practice Address - Fax:703-527-5483
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101051127207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5863627Medicare ID - Type Unspecified
VAF94363Medicare UPIN
VA000Z01A06Medicare ID - Type Unspecified