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Individual

IMO ASUQUO EBONG

Active
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Individual

IMO ASUQUO EBONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,M.S.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A119607
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A119607
CA
207RC0000X
Cardiovascular Disease Physician
A119607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902846306
GROUP NPI
CA
01
GR0100430
GROUP MEDI-CAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
05/18/2008
Last updated
02/21/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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