Provider Demographics
NPI:1386856540
Name:LITTAUA, MARIA CHRISTINA R (MD)
Entity type:Individual
Prefix:
First Name:MARIA CHRISTINA
Middle Name:R
Last Name:LITTAUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA CHRISTINA
Other - Middle Name:
Other - Last Name:REYES-LITTAUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:2000 WILKES RIDGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7632
Practice Address - Country:US
Practice Address - Phone:804-877-4000
Practice Address - Fax:804-877-4001
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246175208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
1957855OtherBS
1398027OtherBS
PA1019723290001Medicaid
VA1386856540Medicaid
VA020681S00OtherMEDICARE
1398027OtherBS
1957855OtherBS
PA1019723290001Medicaid
060201Medicare PIN