Ataga, Kenneth I
Ataga, Kenneth I is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Ste 101 , Memphis TN 38104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ataga, Kenneth I can be contacted via phone (901) 516-8785.Contact Information
Primary practice address
1325 Eastmoreland Ave Ste 101
Memphis TN 38104
Phone: (901) 516-8785
Fax: (901) 516-8358
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 9700849 | North Carolina |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 57803 | Tennessee |
Profile Details
NPI number | 1306886825 |
---|---|
LBN Legal business name | Ataga, Kenneth I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Nov 7th, 2018 - about 7 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 | 1306886825 | NPPES |
Tennessee | MEDICAID | Q037997 |
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