Provider Demographics
NPI:1437326501
Name:QUIAOIT, YSMAEL ANCHETA (MD)
Entity Type:Individual
Prefix:
First Name:YSMAEL
Middle Name:ANCHETA
Last Name:QUIAOIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6192 OXON HILL RD STE 409
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3145
Mailing Address - Country:US
Mailing Address - Phone:847-769-4042
Mailing Address - Fax:
Practice Address - Street 1:6192 OXON HILL RD STE 409
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3145
Practice Address - Country:US
Practice Address - Phone:301-567-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069092207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology