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Contact Information

MONUJ T BASHAMBU, MD
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 706-721-0650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MONUJ T BASHAMBU · (Male)

NPI Number 1083704159
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 08/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 068983
  • OH License # 35.094111
  • SC License # LL29238
  • OH Medicaid 0072631
  • OH Other 9105965 AETNA
  • OH Other 000000785511 ANTHEM
  • OH Other 35.094111 LICENSE
Hospital affiliation(s) Not Available
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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