Individual
MARTIN TIBUAKUU
Active
Individual
MARTIN TIBUAKUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023033163
MO
207RC0000X
Cardiovascular Disease Physician
04-53144
KS
207RC0000X
Cardiovascular Disease Physician
2023033163
MO
207RC0000X
Cardiovascular Disease Physician
Primary
39738
NH
208M00000X
Hospitalist Physician
2023033163
MO
Other
Enumeration date
06/12/2017
Last updated
07/24/2026
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