IndividualActive
Ilia Sumoza, MD
NPI 1548447113 · Hematology & Oncology Physician · Fenton, MO
Provider details
- NPI number
- 1548447113
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2011030407 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1011 Bowles Ave
Suite G 50
Fenton, MO 63026-2395
Phone: (636) 496-4640
Fax: (636) 496-4962
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Bowles Ave
Fenton, MO 63026-2395
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.