Provider Demographics
NPI:1649455577
Name:MILITANTE-MILLER, MARIA FATIMA (DO)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FATIMA
Last Name:MILITANTE-MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:FATIMA
Other - Last Name:MILITANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:350 HAWTHORNE AVE STE 2346
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3108
Mailing Address - Country:US
Mailing Address - Phone:510-869-6883
Mailing Address - Fax:510-869-6888
Practice Address - Street 1:350 HAWTHORNE AVE
Practice Address - Street 2:SUITE 2316
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3108
Practice Address - Country:US
Practice Address - Phone:510-869-8670
Practice Address - Fax:510-869-6888
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10012207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine