Quisumbing, Maria Emelina

Quisumbing, Maria Emelina is an individual health care provider with primary practice located at 400 Shadow Ln Ste 106 , Las Vegas NV 89106-4355. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Quisumbing, Maria Emelina can be contacted via phone (702) 731-0909.

Contact Information

Primary practice address
400 Shadow Ln Ste 106 Las Vegas NV 89106-4355
Fax: (702) 826-4757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C135844 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 10142 Nevada

Profile Details

NPI number 1508856022
LBN Legal business name Quisumbing, Maria Emelina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 4th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508856022 NPPES
Arizona MEDICAID 115223
Arizona MEDICAID 100507395
Arizona MEDICAID 1508856022
Arizona Other P00320745

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