Healthcare Provider Details

I. General information

NPI: 1962780676
Provider Name (Legal Business Name): MARIE KATRINA MARAJAS HAMATI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIE KATRINA JUBAN MARAJAS MD

II. Dates (important events)

Enumeration Date: 07/28/2011
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 NEALY AVE
HAMPTON VA
23665-2040
US

IV. Provider business mailing address

106 OAK RIDGE CT
WILLIAMSBURG VA
23188-7814
US

V. Phone/Fax

Practice location:
  • Phone: 757-225-6611
  • Fax:
Mailing address:
  • Phone: 757-947-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP0435
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101257688
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: