Provider Demographics
NPI:1205169109
Name:SERVIOLI VERDE, MARIA JOSE (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JOSE
Last Name:SERVIOLI VERDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2420 SONOMA ST STE B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3033
Mailing Address - Country:US
Mailing Address - Phone:530-999-2533
Mailing Address - Fax:530-999-2532
Practice Address - Street 1:2420 SONOMA ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3033
Practice Address - Country:US
Practice Address - Phone:530-999-2533
Practice Address - Fax:530-999-2532
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA433352084N0400X
CAC1649082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology