Reyes, Renato Agduma

Reyes, Renato Agduma is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reyes, Renato Agduma can be contacted via phone (801) 507-4384.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2007-0525 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9550226-8017 Utah

Profile Details

NPI number 1245383413
LBN Legal business name Reyes, Renato Agduma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated May 2nd, 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 1245383413 NPPES
New Mexico MEDICAID 72874813

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