Individual
MATIA MULUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5263 NIKE STATION WAY, HILLIARD, OH 43026-7449
(614) 876-2100
(614) 876-2120
Mailing address
2990 NORTON RD, GROVE CITY, OH 43123-8964
(614) 878-8283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.085097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580443
—
OH
Enumeration date
07/10/2006
Last updated
01/30/2014
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