Individual
MARICARMEN MALAGON-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, U-115, KNOXVILLE, TN 37920-1511
(865) 544-9351
(865) 544-9314
Mailing address
1924 ALCOA HWY, U-67, KNOXVILLE, TN 37920-1511
(865) 544-9352
(865) 544-9314
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD021077
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011932
PHP TENNCARE
TN
01
—
1689631137
GROUP NPI
TN
05
—
3057890
—
TN
01
—
3140062
UNITED HEALTH CARE
TN
01
—
3373352
UFP MEDICAID GROUP
TN
01
—
4036989
BLUE CROSS/BLUE SHIELD
TN
01
—
5349187
AETNA
TN
05
—
64922214
—
KY
01
—
7366660
CIGNA
TN
01
—
TN01H4
JOHN DEERE
TN
Enumeration date
04/27/2006
Last updated
09/28/2012
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