Individual
EUGENE CUEVAS DIOKNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Mailing address
143 VERSAILLES CIR APT C, TOWSON, MD 21204-6932
(240) 675-0204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0053961
MD
2080S0010X
Pediatric Sports Medicine Physician
D0053961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441102100
—
MD
Enumeration date
09/06/2005
Last updated
03/01/2018
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