| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAYA RAGINI OVERLAND | 1467814996 | 2022-06-26 |
Maya Ragini Overland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467814996. Registration indicates Maya Ragini Overland is a provider of access to urologists services with a specialization in Allopathic & Osteopathic Physicians, Urology (Urology: Pediatric Urology, ) (Allopathic & Osteopathic Physicians, Urology) (Specialist Network, ) (Urology Pediatric Urology, Allopathic & Osteopathic Physicians) (Urology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Maya Ragini Overland MD, PHD |
| Practice Office Address | 3401 CIVIC CENTER BLVD DIVISION OF PEDIATRIC UROLOGY PHILADELPHIA, PA US |
| Practice Office Telephone | 2155903765 |
| Mailing Address | 2300 WALNUT ST APT 507 PHILADELPHIA, PA 191035545 US |
| Code | Practice | License No State |
|---|---|---|
| 2088P0231X PRIMARY | Access to Urologists Allopathic & Osteopathic Physicians Urology Urology: Pediatric Urology Allopathic & Osteopathic Physicians Urology Specialist Network Urology Pediatric Urology Allopathic & Osteopathic Physicians Urology | MT225096
PA |