Provider Demographics
NPI:1982776076
Name:HAINE, MARIA C (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:C
Last Name:HAINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5801 BREMO RD
Mailing Address - Street 2:7 ACCESS CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1907
Mailing Address - Country:US
Mailing Address - Phone:804-287-7836
Mailing Address - Fax:804-281-8557
Practice Address - Street 1:5801 BREMO RD
Practice Address - Street 2:7 ACCESS CENTER
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-287-7836
Practice Address - Fax:804-281-8557
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDDOO457672084P0800X
VA01012564572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN