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NPI Code Detail

MEDICARE: GEOFFREY NGENY MD

MEDICARE: GEOFFREY NGENY MD
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
1208M00000XHospitalist Physician055507GA
2207R00000XInternal Medicine Physician055507GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982699500
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOFFREY NGENY MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-831-4736
Fax Number : 305-831-4736
Provider Business Practice Location Address
First Line : 450 NORTHSIDE CHEROKEE BLVD
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number : 770-224-1000
Fax Number : 770-224-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/17/2018

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Directions to “ GEOFFREY NGENY MD” Practice Location

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