Individual
MARIA EAPEN
Active
Individual
MARIA EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200501703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10184401
—
VA
01
—
139WY
BCBS
—
05
—
3810003038
—
WV
05
—
5901164
—
NC
01
—
7803810
AETNA
—
01
—
806751
PARTNERS
—
01
—
E4480
MEDCOST
—
05
—
Q01703
—
SC
Enumeration date
12/16/2005
Last updated
02/22/2021
Update your record
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