Agbemadzo, Bernard M
Agbemadzo, Bernard M is an individual health care provider with primary practice located at Pmg Hematology/Oncology 8300 Constitution Ave Ne, Albuquerque NM 87110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Agbemadzo, Bernard M can be contacted via phone (505) 559-6100.Contact Information
Primary practice address
Pmg Hematology/Oncology 8300 Constitution Ave Ne
Albuquerque NM 87110
Phone: (505) 559-6100
Fax: (505) 559-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2002-0192 | New Mexico |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2002-0192 | New Mexico |
Profile Details
| NPI number | 1013940675 |
|---|---|
| LBN Legal business name | Agbemadzo, Bernard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013940675 | NPPES |
| New Mexico | MEDICAID | 50057804 |
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