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EVIDIO DOMINGO MUSIBAY MD NPI 1831321785


NPI Information

NPI: 1831321785
Provider Name: EVIDIO DOMINGO MUSIBAY, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
800 E 28TH ST STE 401
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 863-0200
Get Directions

Evidio Domingo Musibay, MD is a medical oncology internal medicine in Minneapolis, MN with 15 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Evidio Domingo Musibay, MD NPI is 1831321785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

800 E 28TH ST STE 401
MINNEAPOLIS, MN
ZIP 55407-723
Phone: (612) 863-0200
Fax: (612) 863-0235

The NPI 1831321785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2009 and was last updated on 2/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematology52977MINNESOTANo
2207RX0202XInternal MedicineMedical Oncology52977MINNESOTAYes
3207R00000XInternal Medicine52977MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01075996OTHERMINNESOTARAIL ROAD - MEDICARE
2ENROLLEDMEDICAIDMINNESOTA
3ENROLLEDMEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.