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 8 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 |
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