Ebong, Imo Asuquo
Ebong, Imo Asuquo is an individual health care provider with primary practice located at 4860 Y St Ste 2860 , Sacramento CA 95817-2307. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Ebong, Imo Asuquo can be contacted via phone (916) 734-8426.Contact Information
Primary practice address
4860 Y St Ste 2860
Sacramento CA 95817-2307
Phone: (916) 734-8426
Fax: (916) 734-6474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A119607 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A119607 | California |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | A119607 | California |
Profile Details
| NPI number | 1699932707 |
|---|---|
| LBN Legal business name | Ebong, Imo Asuquo |
| Credentials | M.D.,M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2008 |
| Last updated | Feb 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699932707 | NPPES |
| California | Other | 1902846306 | GROUP NPI |
| California | Other | GR0100430 | GROUP NPI |
| California | Other | W18762 | GROUP NPI |
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