MEDICARE: DR. ADRIANN WESTINE BEGAY 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	207Q00000X	Family Medicine Physician	28077	AZ
2	208D00000X	General Practice Physician	28077	AZ

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801864590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIANN WESTINE BEGAY M.D.

Provider Business Mailing Address
First Line	:	1126 RIDGECREST AVE
Second Line	:
City	:	GALLUP
State	:	NM
Zip	:	87301-4957
Country	:	US
Telephone Number	:	505-879-0488
Fax Number	:

Provider Business Practice Location Address
First Line	:	7490 S CAMINO DE OESTE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-9308
Country	:	US
Telephone Number	:	520-879-6225
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/18/2025

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