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Individual
EDWARD L KATEMBA
Active
Individual
EDWARD L KATEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190687
MEDCOST
SC
05
—
263798
—
SC
01
—
7971844
AETNA
SC
01
—
AA03786067
MEDICARE PIN
SC
01
—
AA03786084
MEDICARE PIN
SC
01
—
AA03786121
MEDICARE PIN
SC
01
—
AA0378J577
MEDICARE PIN
SC
01
—
P0162245
RAILROAD MEDICARE
SC
Enumeration date
08/05/2006
Last updated
01/27/2021
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