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Individual

JABULANI MUNALULA

Active
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Individual

JABULANI MUNALULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101241103
VA
2086X0206X
Surgical Oncology Physician
Primary
0101241103
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0162448
GHI
01
10022031
OPTIMA
05
1437105467
VA
01
301730
ANTHEM BCBS
VA
05
5908181
NC
01
755184
AETNA
01
P00638801
MEDICARE RAILROAD
Enumeration date
05/25/2006
Last updated
12/16/2008
Update your record

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