Healthcare Provider Details

I. General information

NPI: 1760183958
Provider Name (Legal Business Name): MARIA ALI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

12 CHARLESTON RD
HINSDALE IL
60521-5003
US

V. Phone/Fax

Practice location:
  • Phone: 630-456-8881
  • Fax:
Mailing address:
  • Phone: 630-456-8881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0102209230
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: