Bermingham Cordova, Katharine M

Bermingham Cordova, Katharine M is an sole proprietor health care provider with primary practice located at 14506 W Granite Valley Dr #206, Sun City West AZ 85375-6010. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Bermingham Cordova, Katharine M can be contacted via phone (623) 584-2127.

Contact Information

Primary practice address
14506 W Granite Valley Dr #206 Sun City West AZ 85375-6010
Phone: (623) 584-2127
Fax: (623) 584-1257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 46040 Arizona

Profile Details

NPI number 1396962767
LBN Legal business name Bermingham Cordova, Katharine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jan 26th, 2016 - about 8 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 1396962767 NPPES
Arizona Other 3044230 UNITED HEALTHCARE
Arizona Other P01106960 UNITED HEALTHCARE
Arizona Other 722830 UNITED HEALTHCARE
Arizona MEDICAID 722830 UNITED HEALTHCARE
Arizona Other 1396962767 UNITED HEALTHCARE
Arizona Other 5Z0069 UNITED HEALTHCARE
Arizona Other 1396962767 UNITED HEALTHCARE

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