Provider Demographics
NPI:1366904609
Name:GROSS, MAYA ELIZABETH (MD, MPH)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:ELIZABETH
Last Name:GROSS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:ELIZABETH
Other - Last Name:GROOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UW HOSPITALS AND CLINICS
Mailing Address - Street 2:600 HIGHHLAND AVE
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792
Mailing Address - Country:US
Mailing Address - Phone:608-263-6400
Mailing Address - Fax:
Practice Address - Street 1:UW HOSPITALS AND CLINICS
Practice Address - Street 2:600 HIGHLAND AVE
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792
Practice Address - Country:US
Practice Address - Phone:608-263-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program