Provider Demographics
NPI:1811158264
Name:DARAS, MARIZA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIZA
Middle Name:
Last Name:DARAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIZA
Other - Middle Name:
Other - Last Name:DARAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19179-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:1001 E LEIGH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5004
Practice Address - Country:US
Practice Address - Phone:804-828-9350
Practice Address - Fax:804-807-7949
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC149360207R00000X
NY2637832084N0400X
CAC1641482084N0400X
VA01012786052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine