Provider Demographics
NPI:1295922425
Name:MENDOZA-SENGCO, PAOLA MARIA L (MD)
Entity type:Individual
Prefix:DR
First Name:PAOLA
Middle Name:MARIA L
Last Name:MENDOZA-SENGCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 4009
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-7480
Mailing Address - Fax:513-636-7360
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 5021
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-7480
Practice Address - Fax:513-636-7360
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2020-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL32586208100000X, 208000000X
OH35.1374912081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL149297Medicaid
MS05107018Medicaid
AL149297Medicaid