Individual
THERESA ONG LIU DUMLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2946 E BANNER GATEWAY DR, SUITE 450, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3359
Mailing address
2940 E. BANNER GATEWAY DR, SUITE 450, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3359
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
25912
AL
207RH0003X
Hematology & Oncology Physician
Primary
32590
AZ
207RH0003X
Hematology & Oncology Physician
P0083
TX
207RX0202X
Medical Oncology Physician
25912
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04101524
—
MS
05
—
139243
—
AL
05
—
287754001 (MDACC)
—
TX
01
—
51591744
BCBS - 1 INFIRMARY CIRCLE
AL
01
—
8DC007
BCBS (MDACC)
TX
Enumeration date
05/22/2008
Last updated
08/11/2025
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