Individual
MARIA EMELINA QUISUMBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 SHADOW LN STE 106, LAS VEGAS, NV 89106-4355
(702) 731-0909
(702) 826-4757
Mailing address
8936 SPANISH RIDGE AVE, LAS VEGAS, NV 89148-1354
(702) 731-0909
(702) 998-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C135844
CA
207RH0003X
Hematology & Oncology Physician
Primary
10142
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507395
—
NV
05
—
115223
—
AZ
05
—
1508856022
—
NV
01
—
P00320745
RAILROAD MEDICARE
NV
Enumeration date
10/26/2005
Last updated
12/04/2020
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