Individual
GEORGE K MUTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-1400
Mailing address
PO BOX 632242, CINCINNATI, OH 45263-2242
(800) 503-6254
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35077898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200453110A
—
IN
05
—
200453110C
—
IN
05
—
200453110D
—
IN
05
—
200453110E
—
IN
05
—
200453110F
—
IN
05
—
2183480
—
OH
05
—
64026404
—
KY
01
—
P00038444
RAILROAD MEDICARE
—
Enumeration date
01/10/2006
Last updated
06/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us