Individual
BERNADETTE A DEOGAYGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6490 MOUNT MORIAH ROAD EXT, SUITE 200, MEMPHIS, TN 38115-3729
(901) 565-0244
(901) 565-0616
Mailing address
PO BOX 752743, MEMPHIS, TN 38175-2743
(901) 565-0244
(901) 565-0616
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
14588
MS
207RN0300X
Nephrology Physician
Primary
34588
TN
207RN0300X
Nephrology Physician
E3210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055491
—
TN
05
—
06170061
—
MS
05
—
114248
—
TN
05
—
142433001
—
AR
05
—
21734
—
TN
01
—
3416199001
CIGNA
—
05
—
3859242
—
TN
01
—
4030322
BLUE CROSS BLUE SHIELD
TN
05
—
4030322
—
TN
01
—
5M199
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/14/2006
Last updated
08/12/2010
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