Individual
DR. AMBER MARIE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1581 DODD DR, COLUMBUS, OH 43210-1257
(614) 293-4854
(614) 293-8102
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43493
KY
207RI0200X
Infectious Disease Physician
Primary
35.121877
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675457
NIS/ANTHEM
—
01
—
000052155X
NIS/HUMANA
—
05
—
200997810
—
IN
01
—
2671184
NIS/CIGNA
—
01
—
50029914
NIS/PHP
—
05
—
7100129940
—
KY
05
—
PENDING
—
OH
Enumeration date
09/27/2007
Last updated
08/21/2013
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