Provider Demographics
NPI:1467665984
Name:KAMOGA, GILBERT-ROY BUKENYA (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT-ROY
Middle Name:BUKENYA
Last Name:KAMOGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 NEWTON CIR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1694
Mailing Address - Country:US
Mailing Address - Phone:216-269-1191
Mailing Address - Fax:
Practice Address - Street 1:2214 CANTERBURY DR
Practice Address - Street 2:MEDICAL SPECIALISTS SUIT 200
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2386
Practice Address - Country:US
Practice Address - Phone:785-623-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-33797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016852028OtherMEDICARE PTAN NUMBER