Provider Demographics
NPI:1144286766
Name:PAUL, MARIA ANN (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANN
Last Name:PAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 OSAGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243
Mailing Address - Country:US
Mailing Address - Phone:412-563-0735
Mailing Address - Fax:412-279-6799
Practice Address - Street 1:363 VANADIUM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243
Practice Address - Country:US
Practice Address - Phone:412-279-6799
Practice Address - Fax:412-279-6722
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053828L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
200289OtherUPMC
PA684773OtherBCBS
G03762Medicare UPIN
200289OtherUPMC