Provider Demographics
NPI:1184145112
Name:RASQUINHA, SIMONA (MD)
Entity type:Individual
Prefix:DR
First Name:SIMONA
Middle Name:
Last Name:RASQUINHA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:2347 5TH AVENUE
Practice Address - Street 2:UPMC MCKEESPORT LATTERMAN FAMILY HEALTH CENTER
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132
Practice Address - Country:US
Practice Address - Phone:412-673-5504
Practice Address - Fax:412-673-2150
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT212830207Q00000X
TXV5330207Q00000X
MI4301501315207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine