Provider Demographics
NPI:1255404232
Name:DAVILA, MARIA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA
Last Name:DAVILA
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 1:5300 W 94TH TER STE 200
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2536
Mailing Address - Country:US
Mailing Address - Phone:913-381-8555
Mailing Address - Fax:913-677-2112
Practice Address - Street 1:5300 W 94TH TER STE 200
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-2536
Practice Address - Country:US
Practice Address - Phone:913-381-8555
Practice Address - Fax:913-677-2112
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1055972084P0800X
KS4270072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
26708042OtherBCBC OF KC
MO203768908AMedicaid
KS2087202902Medicaid
0008336Medicare ID - Type Unspecified
26708042OtherBCBC OF KC