Deogaygay, Bernadette A

Deogaygay, Bernadette A is an individual health care provider with primary practice located at 6490 Mount Moriah Road Ext Suite 200, Memphis TN 38115-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Deogaygay, Bernadette A can be contacted via phone (901) 565-0244.

Contact Information

Primary practice address
6490 Mount Moriah Road Ext Suite 200 Memphis TN 38115-3729
Phone: (901) 565-0244
Fax: (901) 565-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34588 Tennessee
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E3210 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 14588 Mississippi

Profile Details

NPI number 1750350757
LBN Legal business name Deogaygay, Bernadette A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750350757 NPPES
Arkansas MEDICAID 142433001
Arkansas Other 3416199001
Arkansas MEDICAID 4030322
Arkansas MEDICAID 055491
Arkansas Other 4030322
Arkansas MEDICAID 06170061
Arkansas MEDICAID 114248
Arkansas MEDICAID 21734
Arkansas Other 5M199
Arkansas MEDICAID 3859242

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