Individual
MARTIN BONIFACE GITOBU MUTONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3470
(504) 842-7372
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
345108
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
345108
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2015
Last updated
02/18/2026
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