Mutungi, Peninnah
Mutungi, Peninnah is an individual health care provider with primary practice located at 10010 Kennerly Rd 3 Southbridge, Saint Louis MO 63128-2106. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mutungi, Peninnah can be contacted via phone (314) 525-1328.Contact Information
Primary practice address
10010 Kennerly Rd 3 Southbridge
Saint Louis MO 63128-2106
Phone: (314) 525-1328
Fax: (314) 525-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2083B0002X | 2010005859 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036-120171 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2010005859 | Missouri |
Profile Details
| NPI number | 1720251945 |
|---|---|
| LBN Legal business name | Mutungi, Peninnah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Feb 24th, 2025 - about last year |
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 | 1720251945 | NPPES |
| Missouri | Other | MA3704019 | MEDICARE PTAN |
| Missouri | MEDICAID | 036120171 | MEDICARE PTAN |
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