Provider Demographics
NPI:1659482149
Name:MALDONADO-KNAPP, DARIA BEATRIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIA
Middle Name:BEATRIZ
Last Name:MALDONADO-KNAPP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1750 EL CAMINO REAL 206
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3214
Mailing Address - Country:US
Mailing Address - Phone:650-692-0182
Mailing Address - Fax:650-692-7741
Practice Address - Street 1:9781 BLUE LARKSPUR LN
Practice Address - Street 2:SUITE 100
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6509
Practice Address - Country:US
Practice Address - Phone:831-333-9008
Practice Address - Fax:831-333-9010
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75444207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG75444OtherCA MEDICAL LICENSE
CABM4783494OtherDEA #
CAG23663Medicare UPIN