Individual
DIANE MAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 KINGSLEY LANE, NORFOLK, VA 23505
(757) 889-5146
(757) 889-5948
Mailing address
PO BOX 758994, BALTIMORE, MD 21275-6412
(757) 889-5069
(757) 889-5948
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101226182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6607195
—
VA
Enumeration date
04/25/2006
Last updated
08/12/2010
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