Healthcare Provider Details

I. General information

NPI: 1386856540
Provider Name (Legal Business Name): MARIA CHRISTINA R LITTAUA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA CHRISTINA REYES-LITTAUA MD

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 WILKES RIDGE DR
RICHMOND VA
23233-7632
US

IV. Provider business mailing address

PO BOX 780125
PHILADELPHIA PA
19178-0125
US

V. Phone/Fax

Practice location:
  • Phone: 804-877-4000
  • Fax: 804-877-4001
Mailing address:
  • Phone: 804-922-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0101246175
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: