Provider Demographics
NPI:1316155328
Name:MOLDOVAN, ANNAMARIA ZITA (MD)
Entity type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:ZITA
Last Name:MOLDOVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4825 S LABURNUM AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2713
Mailing Address - Country:US
Mailing Address - Phone:804-236-8752
Mailing Address - Fax:804-236-8759
Practice Address - Street 1:4825 S LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2713
Practice Address - Country:US
Practice Address - Phone:804-236-8752
Practice Address - Fax:804-236-8769
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2820002084P0800X
NY3322792084P0800X
PAMD4868622084P0800X
RIMD149452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA360302OtherANTHEM
VA018949H36Medicare PIN
VA360302OtherANTHEM