MEDICARE: DR. MAYA C BHATIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101029215	VA
2	2084P0804X	Child & Adolescent Psychiatry Physician	0101029215	VA

General Provider Information

NPI Number	:	1578621553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAYA C BHATIA M.D.

Provider Business Mailing Address
First Line	:	101 S WHITING ST STE 212
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3416
Country	:	US
Telephone Number	:	703-660-6674
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S WHITING ST STE 212
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-3416
Country	:	US
Telephone Number	:	703-660-6674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	09/11/2025

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