Doctor Name: | CRISTINA NANCY PEREZ CHUMBIAUCA |
NPI Number: | 1003202763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 11018394A |
Business Practice Address: | 705 Riley Hospital Dr Room 5867 Indianapolis, IN - 462025109 |
Business Phone Number: | 3179480003 |
Business Fax Number: | |
Mailing Address: | 705 Riley Hospital Dr, Room 5867 Med-peds Residency Program, INDIANAPOLIS |
State: | IN |
Postal Code: | 462025109 |
Phone Number: | 3179480003 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 11018394A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |