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Individual
DR. JAMES M KIWANUKA
Active
Individual
DR. JAMES M KIWANUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0027070
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04021
AMERIGROUP MCO
MD
01
—
1200792
UNITED HEALTHCARE
MD
01
—
41835
AETNA
MD
01
—
4303JM
BLUE CROSS BLUE SHEILD MD
MD
05
—
644721000
—
MD
Enumeration date
04/14/2006
Last updated
09/14/2011
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