Individual
DONATUS OGU
Active
Individual
DONATUS OGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9300555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10826
BCBS
—
01
—
110159213
RAILROAD MEDICARE
—
01
—
116085
AETNA
—
01
—
1184723
CIGNA
—
01
—
21564
PARTNERS/PARTNERS MEDICAR
—
01
—
253704
MAMSI
—
01
—
441733
UNITED HEALTH CARE
—
01
—
76743
MEDCOST
—
05
—
8910826
—
NC
01
—
N0055C
SOUTH CAROLINA MEDICAID
—
Enumeration date
04/03/2006
Last updated
08/22/2008
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