Derhgawen, Sanjay

Derhgawen, Sanjay is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Derhgawen, Sanjay can be contacted via phone (601) 268-5700.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5700
Fax: (601) 268-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 14825 Mississippi

Profile Details

NPI number 1215945506
LBN Legal business name Derhgawen, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 4th, 2020 - about 5 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 1215945506 NPPES
Mississippi MEDICAID 00116735
Mississippi MEDICAID 009702980
Mississippi Other 640507572AH
Mississippi MEDICAID 1419435

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