Provider Demographics
NPI:1134183759
Name:ZALLES, MARIA CAROLA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CAROLA
Last Name:ZALLES
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 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 SETON PKWY
Practice Address - Street 2:SETON MEDICAL CENTER WILLIAMSON, DEPT. OF PATHOLOGY
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-8000
Practice Address - Country:US
Practice Address - Phone:203-676-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044040207ZC0500X, 207ZP0102X
MO101977207ZP0102X
GA102400207ZP0102X, 207ZC0500X, 207ZP0213X
IN01098530A207ZP0102X
KS04-23856207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology