Berdeja, Jesus G

Berdeja, Jesus G is an individual health care provider with primary practice located at 250 25Th Ave N Ste 412, Nashville TN 37203-1632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Berdeja, Jesus G can be contacted via phone (615) 986-7000.

Contact Information

Primary practice address
250 25Th Ave N Ste 412 Nashville TN 37203-1632
Phone: (615) 986-7000
Fax: (615) 986-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 43220 Tennessee

Profile Details

NPI number 1902842412
LBN Legal business name Berdeja, Jesus G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 25th, 2012 - about 12 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 1902842412 NPPES
California MEDICAID 00A601430
California Other 4172891
California MEDICAID 3001257

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