Mamani, Demetrio Bernabe
Mamani, Demetrio Bernabe is an individual health care provider with primary practice located at 5601 W Eugie Ave Ste 106 , Glendale AZ 85304-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mamani, Demetrio Bernabe can be contacted via phone (602) 978-6255.Contact Information
Primary practice address
5601 W Eugie Ave Ste 106
Glendale AZ 85304-1256
Phone: (602) 978-6255
Fax: (602) 564-9286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 33878 | Arizona |
Profile Details
| NPI number | 1598788499 |
|---|---|
| LBN Legal business name | Mamani, Demetrio Bernabe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 29th, 2017 - about 9 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598788499 | NPPES |
| Arizona | MEDICAID | 969701 |
Popular Providers
-
Ewing, James Irwin
5810 W Beverly Ln , Glendale AZ 85306-1800 -
Liu, Lin-Lin
21216 Northwest Fwy Suite 230, Cypress TX 77429-1439 -
Ahmad, Nazish
5601 W Eugie Ave , Glendale AZ 85304-1255 -
Bapat, Ashok
8440 Murano Del Lago Dr , Estero FL 34135-8615 -
Merin, Jan M
1330 Wirt Rd Ste R , Houston TX 77055-4901 -
Awomolo, Adesola
1000 36Th St , Vero Beach FL 32960-4862 -
Sporn, Jonathan
94 Woodland St , Hartford CT 06105-1217 -
Giudice, Richard O
4901 Lang Ave Ne , Albuquerque NM 87109-4397