Mutema, George K

Mutema, George K is an individual health care provider with primary practice located at 375 Dixmyth Ave , Cincinnati OH 45220-2475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mutema, George K can be contacted via phone (513) 872-1400.

Contact Information

Primary practice address
375 Dixmyth Ave Cincinnati OH 45220-2475
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35077898 Ohio

Profile Details

NPI number 1093794018
LBN Legal business name Mutema, George K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 10th, 2010 - about 16 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 1093794018 NPPES
Kentucky MEDICAID 64026404
Kentucky Other P00038444
Kentucky MEDICAID 200453110D
Kentucky MEDICAID 200453110E
Kentucky MEDICAID 200453110F
Kentucky MEDICAID 200453110C
Kentucky MEDICAID 200453110A
Kentucky MEDICAID 2183480

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