Provider Demographics
NPI:1659471837
Name:MARIN, MIHAELA N (MD)
Entity Type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:N
Last Name:MARIN
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 1:17450 S LA CANADA DR
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-9718
Mailing Address - Country:US
Mailing Address - Phone:520-393-0898
Mailing Address - Fax:520-393-1750
Practice Address - Street 1:17450 S LA CANADA DR
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-9718
Practice Address - Country:US
Practice Address - Phone:520-393-0898
Practice Address - Fax:520-393-1750
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28815207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ75511Medicare PIN
AZH 46731Medicare UPIN