Individual
MUTSA NYAKABAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S CLEVELAND AVE, HAGERSTOWN, MD 21740-5745
(301) 745-3777
(301) 393-3459
Mailing address
1502 HEATHER HOLLOW CIR, APT. 34, SILVER SPRING, MD 20904-2373
(703) 869-2785
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0085119
MD
Other
Enumeration date
04/18/2015
Last updated
06/12/2023
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