Provider Demographics
NPI:1649430398
Name:DELGADO, MARIA ANNA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANNA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4430 TILLY MILL RD UNIT 1408
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30360-2147
Mailing Address - Country:US
Mailing Address - Phone:414-708-6357
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:H183
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-727-5658
Practice Address - Fax:404-727-3744
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA3369207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology