Individual
EVA S. WASEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 PIONEER LANE, BISHOP, CA 93514-2563
(775) 884-2455
(775) 884-0345
Mailing address
PO BOX 21530, CARSON CITY, NV 89721-1530
(775) 844-2455
(775) 884-0345
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A34605
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A34605
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A34605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A346050
DHS PPIN
CA
Enumeration date
03/17/2006
Last updated
07/25/2013
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