Provider Demographics
NPI:1437724333
Name:PEROZO, MARIA AMELIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:AMELIA
Last Name:PEROZO
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 1:1215 LEE ST.
Mailing Address - Street 2:BOX 800225
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-924-2227
Mailing Address - Fax:434-243-7288
Practice Address - Street 1:1215 LEE ST.
Practice Address - Street 2:1215 LEE ST.
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-2227
Practice Address - Fax:434-243-7288
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program