Provider Demographics
NPI:1376594465
Name:BEGGS, DANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:BEGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1337
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87305-1337
Mailing Address - Country:US
Mailing Address - Phone:505-722-1000
Mailing Address - Fax:505-722-1192
Practice Address - Street 1:516 EAST NIZHONI BLVD.
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-1337
Practice Address - Country:US
Practice Address - Phone:505-722-1000
Practice Address - Fax:505-722-1192
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN302422085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34436300Medicaid
IA0579227Medicaid
MN16-02960OtherMEDICA
MN2130169OtherAMERICA'S PPO
MN479T7BEOtherBLUE CROSS
MN131412OtherUCARE
MN291987700Medicaid
MN479T6BEOtherBLUE CROSS
MN253805OtherMIDLANDS CHOICE INC
MNP00108760OtherRAILROAD MEDICARE MN
MN1040741OtherPREFERRED ONE
MN9222492OtherDAKOTA CARE
MNHP40981OtherHEALTH PARTNERS
MN16-02960OtherMEDICA
MN2130169OtherAMERICA'S PPO
IA0579227Medicaid
MN253805OtherMIDLANDS CHOICE INC
MN9222492OtherDAKOTA CARE
MN291987700Medicaid