Individual
DR. CHARLES NWANGUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 HOLDEN RD, LOGAN REGIONAL CANCER CENTER, LOGAN, WV 25601-3477
(304) 831-2500
Mailing address
5502 BRAZOS SPRINGS DR, SUGAR LAND, TX 77479-8836
(281) 633-9996
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21991
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003029
—
TN
Enumeration date
02/20/2007
Last updated
07/08/2007
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