Provider Demographics
NPI:1649295528
Name:QUEVEDO, MARIA EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EUGENIA
Last Name:QUEVEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1615 SW 8TH AVE
Mailing Address - Street 2:SHAWNEE COUNTY
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1633
Mailing Address - Country:US
Mailing Address - Phone:785-368-2000
Mailing Address - Fax:785-368-2098
Practice Address - Street 1:1615 SW 8TH AVE
Practice Address - Street 2:SHAWNEE COUNTY
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1633
Practice Address - Country:US
Practice Address - Phone:785-368-2000
Practice Address - Fax:785-368-2098
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KSKS0430865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00271603OtherRAILROAD MEDICARE
KS104392OtherBLUE CROSS BLUE SHIELD
KS926830OtherFIRST GUARD
KSP00271603OtherRAILROAD MEDICARE
KS104392OtherBLUE CROSS BLUE SHIELD