Provider Demographics
NPI:1134412182
Name:SONGNA, BERI O (MD)
Entity type:Individual
Prefix:
First Name:BERI
Middle Name:O
Last Name:SONGNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BERI
Other - Middle Name:A
Other - Last Name:OKUEZUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-7972
Practice Address - Street 1:38 TYLER ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2912
Practice Address - Country:US
Practice Address - Phone:603-577-5377
Practice Address - Fax:603-577-5395
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHLT4184207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology