Provider Demographics
NPI:1477683902
Name:MARADANI P.A.
Entity Type:Organization
Organization Name:MARADANI P.A.
Other - Org Name:AUSTIN WOMENS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARADANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-443-6100
Mailing Address - Street 1:4207 JAMES CASEY ST STE 315
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1193
Mailing Address - Country:US
Mailing Address - Phone:512-443-6100
Mailing Address - Fax:512-443-6101
Practice Address - Street 1:4207 JAMES CASEY ST STE 315
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1193
Practice Address - Country:US
Practice Address - Phone:512-443-6100
Practice Address - Fax:512-443-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4558207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty