Provider Demographics
NPI:1669624441
Name:PACHORI, MARIA GABRIELA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:GABRIELA
Last Name:PACHORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:GABRIELA
Other - Last Name:PARODIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1890 SW HEALTH PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0473
Mailing Address - Country:US
Mailing Address - Phone:239-593-0990
Mailing Address - Fax:239-593-0007
Practice Address - Street 1:1890 SW HEALTH PKWY STE 303
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0473
Practice Address - Country:US
Practice Address - Phone:239-593-0990
Practice Address - Fax:239-593-0007
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112524207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265399100Medicaid