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
Phone: (513) 872-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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