Theodorou, Maria S

Theodorou, Maria S is an individual health care provider with primary practice located at 265 W Ina Rd , Tucson AZ 85704-6204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Theodorou, Maria S can be contacted via phone (520) 694-8100.

Contact Information

Primary practice address
265 W Ina Rd Tucson AZ 85704-6204
Phone: (520) 694-8100
Fax: (520) 694-8191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21212 Arizona

Profile Details

NPI number 1427154590
LBN Legal business name Theodorou, Maria S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427154590 NPPES
Arizona MEDICAID 125262

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