WADIA R MULLA (NPI# 1710976642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710976642 |
| Entity Type | Individual |
| Full Name | WADIA R MULLA |
| Credential | MD |
| Practice Address |
1060 S Governors Ave Suite 102 Dover DE 19904-6920 |
| Mailing Address |
640 S State St 742 Building Dover DE 19901-3530 |
| Practice Telephone | 3027446220 |
| Practice Fax Number | 3027348454 |
| Mailing Telephone | 3026743970 |
| Mailing Fax Number | 3026722350 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD043899L | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD043899L | PA | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
C1-0004719 | DE | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
MD043899L | PA | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
C1-0004719 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP MEMBER PTAN | 001380ZA5H | 01 | |
| PA | 001243406005 | 05 |
| Street Address |
1060 S GOVERNORS AVE SUITE 102 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821021825 | Christos G Hatjis | Obstetrics & Gynecology | 1060 S Governors Ave, Dover, DE 19904-6920 | 2006-07-10 |
| 1073590287 | Garrett Hc Colmorgen | Obstetrics & Gynecology | 1060 S Governors Ave, Suite 102, Dover, DE 19904-6920 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164780979 | Andrew Robert Ward | Obstetrics & Gynecology | 1060 S Governors Ave Ste 102, Dover, DE 19904-6920 | 2012-04-30 |
| 1285809509 | Bayhealth Medical Center, Inc | Obstetrics & Gynecology | 640 S State St Bldg 742, Dover, DE 19901-3530 | 2008-04-28 |
| 1992262703 | Bayhealth Medical Center, Inc | Obstetrics & Gynecology | 640 S State St, Dover, DE 19901-3530 | 2019-02-28 |
| 1821021825 | Christos G Hatjis | Obstetrics & Gynecology | 1060 S Governors Ave, Dover, DE 19904-6920 | 2006-07-10 |
| 1902886120 | Jeffrey Richard Johnson | Obstetrics & Gynecology | 15 Old Rollinsford Rd, Suite 201, Dover, NH 03820-2868 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356487854 | The Delaware Center for Maternal and Fetal Medicine of Christiana Care | Obstetrics & Gynecology | 1 Centurian Dr Ste 312, Newark, DE 19713-2127 | 2007-01-30 |
| 1003274077 | St. Francis Hospital Inc. | Obstetrics & Gynecology | 701 N Clayton St, Wilmington, DE 19805-3165 | 2016-02-05 |
| 1386919066 | Natalia Maria Wisniewski | Obstetrics & Gynecology | 1 Centurian Dr Ste 312, Newark, DE 19713-2127 | 2012-03-14 |
| 1386878254 | Kelly Elizabeth Ruhstaller | Obstetrics & Gynecology | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2009-05-07 |
| 1992924344 | Vanita B Dharan Jain | Obstetrics & Gynecology | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2007-04-24 |
| 1982765723 | The Delaware Center for Maternal and Fetal Medicine, LLC | Obstetrics & Gynecology | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2006-12-13 |
| 1447341920 | Anthony Charles Sciscione | Obstetrics & Gynecology | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2006-09-27 |
| 1285614727 | James Steven Manley | Obstetrics & Gynecology | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2006-01-19 |
| 1780662502 | Philip Shlossman | Obstetrics & Gynecology | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2006-01-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.