Reyes, Renato Agduma
Reyes, Renato Agduma is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reyes, Renato Agduma can be contacted via phone (801) 507-4384.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 507-4384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2007-0525 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9550226-8017 | Utah |
Profile Details
| NPI number | 1245383413 |
|---|---|
| LBN Legal business name | Reyes, Renato Agduma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | May 2nd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245383413 | NPPES |
| New Mexico | MEDICAID | 72874813 |
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