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Individual

DR. GILBERT MUDIWA NYAMUSWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10001 S EASTERN AVE STE 301, HENDERSON, NV 89052
(702) 852-2017
Mailing address
18000 STUDEBAKER RD STE 800, CERRITOS, CA 90703-2671
(562) 735-3226

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
23231
AZ
207RH0003X
Hematology & Oncology Physician
Primary
7231
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019528
NV
05
389751
AZ
01
830004165
RAILROAD MEDICARE
NV
01
900001898
RAILROAD MEDICARE
AZ
Enumeration date
06/29/2005
Last updated
09/04/2018
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