Individual
PAVAN BEJGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
110 SOUTH 9TH STREET, MAYFIELD, KY 42066-2208
(270) 247-7795
(800) 574-6540
Mailing address
1029 MEDICAL CENTER CIR STE 202, MAYFIELD, KY 42066-1189
(270) 247-7795
(800) 574-6540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52262
KY
207R00000X
Internal Medicine Physician
Primary
036.126543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100167630
—
KY
01
—
K348400
MEDICARE
KY
Enumeration date
10/13/2010
Last updated
01/31/2022
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