Ebong, Imo Asuquo

Ebong, Imo Asuquo is an individual health care provider with primary practice located at 4860 Y St Ste 2860 , Sacramento CA 95817-2307. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Ebong, Imo Asuquo can be contacted via phone (916) 734-8426.

Contact Information

Primary practice address
4860 Y St Ste 2860 Sacramento CA 95817-2307
Phone: (916) 734-8426
Fax: (916) 734-6474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A119607 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A119607 California
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X A119607 California

Profile Details

NPI number 1699932707
LBN Legal business name Ebong, Imo Asuquo
Credentials M.D.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2008
Last updated Feb 21st, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699932707 NPPES
California Other 1902846306 GROUP NPI
California Other GR0100430 GROUP NPI
California Other W18762 GROUP NPI

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