Mongwa, Mbu

Mongwa, Mbu is an individual health care provider with primary practice located at 611 W Park St Cardiology, Urbana IL 61801-2529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mongwa, Mbu can be contacted via phone (217) 904-7000.

Contact Information

Primary practice address
611 W Park St Cardiology Urbana IL 61801-2529
Phone: (217) 904-7000
Fax: (217) 904-7742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056321 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 225666 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036123786 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036123786 Illinois

Profile Details

NPI number 1295947083
LBN Legal business name Mongwa, Mbu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Aug 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295947083 NPPES
Other P00753211 RAILROAD
MEDICAID 036123786 RAILROAD

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