Provider Demographics
NPI:1518909464
Name:PLATIA, MARIA PIA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PIA
Last Name:PLATIA
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 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:P.O. BOX 245078
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5078
Mailing Address - Country:US
Mailing Address - Phone:520-626-6591
Mailing Address - Fax:520-626-1519
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5078
Practice Address - Country:US
Practice Address - Phone:520-626-6591
Practice Address - Fax:520-626-1519
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042869E207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA040054K2ZMedicare ID - Type Unspecified
C61793Medicare UPIN