Individual
MARIA JULIA DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING STREET, JEFFERSONVILLE, IN 47130
(812) 282-1888
(812) 218-9318
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01064162A
IN
2084P0800X
Psychiatry Physician
39116
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01064162A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
39116
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP #
—
01
—
000000493570
ANTHEM #
—
05
—
200868210A
—
IN
01
—
50704000
MAGELLAN GROUP #
—
01
—
600014305
MAGELLAN MIS #
—
05
—
65927857
—
KY
05
—
78903689
—
KY
05
—
82900176
—
KY
Enumeration date
10/05/2006
Last updated
12/09/2011
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