Provider Demographics
NPI:1649201054
Name:CUALING, HERNANI (MD)
Entity Type:Individual
Prefix:
First Name:HERNANI
Middle Name:
Last Name:CUALING
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 1:14275 MIDWAY RD STE B
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:972-934-4392
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:4225 E FOWLER AVE STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-2026
Practice Address - Country:US
Practice Address - Phone:813-972-7100
Practice Address - Fax:813-972-8269
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84854207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264294800Medicaid
FL13628OtherBLUE CROSS BLUE SHIELD
FL220032510Medicare PIN
FLF42426Medicare UPIN
FL264294800Medicaid