Provider Demographics
NPI:1942288246
Name:MAANAVI, DARYA B (MD)
Entity Type:Individual
Prefix:
First Name:DARYA
Middle Name:B
Last Name:MAANAVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:8501 ARLINGTON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4625
Practice Address - Country:US
Practice Address - Phone:703-560-1611
Practice Address - Fax:703-573-0210
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101046151207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
34300004OtherBCBC OF DC
0700362OtherUNHC
VA6244246Medicaid
540894297OtherPCHS
540894297OtherMAILHANDLERS
0468204OtherAETNA HMO
093049600OtherCIGNA
240948OtherMDIPA/OPTIMUM
4326959OtherAETNA
0101046151OtherA LICENSE
502420OtherNCCPO
240948OtherALLIANCE
540894297OtherONE HEALTH
540894297OtherONE HEALTH