Individual
DR. NANDAWULA KANYEREZI MUTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5818 MADISON RD, BRAXTON CANN HEALTH CENTER, CINCINNATI, OH 45227-1708
(513) 263-8750
(513) 263-8787
Mailing address
3101 BURNET AVENUE, CINCINNATI, OH 45229-3098
(513) 357-7289
(513) 263-8787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35072466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048297
—
OH
Enumeration date
12/20/2005
Last updated
02/25/2013
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