Provider Demographics
NPI:1073783015
Name:GUEVARA, MARIA (MD, FCCP)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:MD, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 GROVE PARK WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2481
Mailing Address - Country:US
Mailing Address - Phone:205-396-8916
Mailing Address - Fax:
Practice Address - Street 1:2016 GROVE PARK WAY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2481
Practice Address - Country:US
Practice Address - Phone:205-396-8916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000041227207RP1001X
ALMD.27470207RP1001X
GA048517207RP1001X
FLME83567207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease