MEDICARE: DR. RITA M EGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	24896	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	3937	OTHER	KY	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871567263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA M EGAN M.D.

Provider Business Mailing Address
First Line	:	3260 LEXINGTON RD
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-9798
Country	:	US
Telephone Number	:	720-771-4015
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 LEXINGTON RD
Second Line	:
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-9798
Country	:	US
Telephone Number	:	720-771-4015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	03/07/2019

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