Provider Demographics
NPI:1740353630
Name:ASUNCION, MA. CATHERINE CABOCHAN (MD)
Entity type:Individual
Prefix:
First Name:MA. CATHERINE
Middle Name:CABOCHAN
Last Name:ASUNCION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13065 W. MCDOWELL RD.
Mailing Address - Street 2:SUITE A-105
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392
Mailing Address - Country:US
Mailing Address - Phone:623-536-6788
Mailing Address - Fax:623-935-4370
Practice Address - Street 1:13065 W. MCDOWELL RD.
Practice Address - Street 2:SUITE A-105
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392
Practice Address - Country:US
Practice Address - Phone:623-536-6788
Practice Address - Fax:623-935-4370
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA99749207R00000X
AZ69146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN650011100Medicaid
AZ184840Medicaid
CA00A997490Medicaid
CA00A997490Medicaid
CAWA99749AMedicare PIN