Provider Demographics
NPI:1598913196
Name:JAUHAR, MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:JAUHAR
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 1:100 BLUE FIN CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-2462
Mailing Address - Country:US
Mailing Address - Phone:912-897-6832
Mailing Address - Fax:912-897-7151
Practice Address - Street 1:100 BLUE FIN CIR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2462
Practice Address - Country:US
Practice Address - Phone:912-897-6832
Practice Address - Fax:912-897-7151
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA062898207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA283803966AMedicaid
GA283803966AMedicaid