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NPI Code Detail

MEDICARE: DONATUS OGU M.D.

MEDICARE:   DONATUS  OGU  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
1207R00000XInternal Medicine Physician9300555NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110159213OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
176743OTHERMEDCOST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4116085OTHERAETNA
521564OTHERPARTNERS/PARTNERS MEDICAR
6441733OTHERUNITED HEALTH CARE
71184723OTHERCIGNA
8253704OTHERMAMSI
910826OTHERBCBS
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023070547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONATUS OGU M.D.
Provider Business Mailing Address
First Line : PO BOX 578
Second Line :
City : DALLAS
State : NC
Zip : 28034-0578
Country : US
Telephone Number : 704-923-0446
Fax Number : 704-923-8319
Provider Business Practice Location Address
First Line : 107 N SUMMEY ST
Second Line :
City : DALLAS
State : NC
Zip : 28034-1824
Country : US
Telephone Number : 704-923-0446
Fax Number : 704-923-8319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 08/22/2008

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