Provider Demographics
NPI:1831417757
Name:CORREIA, MAISHA MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:MAISHA
Middle Name:MICHELLE
Last Name:CORREIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2365 IRON POINT RD STE 210
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8713
Mailing Address - Country:US
Mailing Address - Phone:279-258-6718
Mailing Address - Fax:916-596-2135
Practice Address - Street 1:2365 IRON POINT RD STE 210
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8713
Practice Address - Country:US
Practice Address - Phone:925-282-1778
Practice Address - Fax:415-296-5299
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2025-01-21
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Provider Licenses
StateLicense IDTaxonomies
IDMRM-12772084P0800X, 390200000X
IDM-129662084P0800X
CAC1625922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program