Bashambu, Monuj Triven

Bashambu, Monuj Triven is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Bashambu, Monuj Triven can be contacted via phone (706) 721-0650.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-0650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 068983 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL29238 South Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35.094111 Ohio

Profile Details

NPI number 1083704159
LBN Legal business name Bashambu, Monuj Triven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 16th, 2013 - about 11 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 1083704159 NPPES
Ohio MEDICAID 0072631
Ohio Other 000000785511
Ohio Other 35.094111
Ohio Other 9105965

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