Provider Demographics
NPI:1245075399
Name:IOSHPA, MARIA (PA-S)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:IOSHPA
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S SCHELL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-3923
Mailing Address - Country:US
Mailing Address - Phone:917-882-5583
Mailing Address - Fax:
Practice Address - Street 1:903 S SCHELL ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-3923
Practice Address - Country:US
Practice Address - Phone:917-882-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-29
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant