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Contact Information

DONATUS M EGBONIM, MD
801 W MAPLE ST
FARMINGTON, NM87401-5630
 Phone: 505-609-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DONATUS M EGBONIM · (Male)

NPI Number 1962440875
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2018-0202
  • SC License # 20233
  • TX License # N3018
  • SC Medicaid 202337
  • SC Other 0116367 GHI
  • SC Other P00423235 RAILROAD MEDICARE
  • SC Other 20049632 SELECT HEALTH FIRST CHOICE
Hospital affiliation(s)
  • REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES - (Acute Care)
    1901 RED ROCK DRIVE
    GALLUP, NM 87301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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