Provider Demographics
NPI:1427148121
Name:CHEGE, NANCY WABETTI (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:WABETTI
Last Name:CHEGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:470 PLUMAS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991
Mailing Address - Country:US
Mailing Address - Phone:530-673-6674
Mailing Address - Fax:530-673-3335
Practice Address - Street 1:470 PLUMAS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-673-6674
Practice Address - Fax:530-673-3335
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA704662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A704660Medicaid
H35976Medicare UPIN
CA00A704660Medicaid