Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0055428 | MD |
Y | 208600000X | Surgeon | D0055428 | MD |
N | 2086X0206X | Surgical Oncologist | D0055428 | MD |
NPI | 1003877515 |
---|---|
Provider Name | Jesus Esquivel |
First Address | Baltimore, MD 21297-3086 |
Second Address | Frederick, MD 21703-8481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2006 |
Last Update Date | 25/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0161 | CAREFIRST (01) | DC |
406356200 | (05) | MD |
H34203 | (02) | |
K519164352201 | CAREFIRST (01) | MD |
W662 | CAREFIRST (01) | DC |