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
Fax: (901) 516-8358
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306886825 NPPES
Tennessee MEDICAID Q037997

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