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Individual
PATIENCE B KEREGHA
Active
Individual
PATIENCE B KEREGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A51718
CA
207L00000X
Anesthesiology Physician
Primary
A51718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A517180
BS CA
CA
05
—
00A517180
—
CA
01
—
P00124489
RAILROAD MEDICARE
CA
Enumeration date
06/22/2006
Last updated
06/01/2021
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