Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAUREEN THERESA BANTA, MD
DeactivatedMAUREEN THERESA BANTA, MD is a Pediatrics healthcare provider located in ALEXANDRIA, Virginia. NPI 1871676122 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · ALEXANDRIA, VA
This NPI has been deactivated.
The record was deactivated on November 13, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1871676122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2006 (11.057534246575 yrs)
- Last Updated
- Nov 19, 2022
- Deactivated
- Nov 13, 2017
- Licenses
-
D0092143 (MD)0101057222 (VA)
Practice Information
- Address
-
2500 N VAN DORN ST STE 102ALEXANDRIA, VA, 223021601Browse VA providers · Browse ZIP 22302
- Phone
- 7039330555
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in ALEXANDRIA, VA
| Name | Credential | NPI |
|---|---|---|
| DR. VASANTHI CHADIVE | M.D. | 1285635649 |
| CYRELDA RAMIREZ FERMIN | MD | 1144214313 |
| MICHELLE M BROOKS | — | 1982693222 |
| DR. MOHEB S ANDRAWIS | M.D. | 1689665507 |
| PILAR G TAM | MD | 1356329916 |
| MARTHA WELMAN | MD | 1316925977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.