Nandawula Kanyerezi Mutema, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35072466 Issued in OH

Practice address

5818 Madison Rd
Braxton Cann Health Center
Cincinnati, OH 45227-1708

Phone

(513) 263-8750

Fax

(513) 263-8787

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1265418362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293098",
            "telephone_number": "513-357-7289",
            "fax_number": "513-263-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 MADISON RD",
            "address_2": "BRAXTON CANN HEALTH CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271708",
            "telephone_number": "513-263-8750",
            "fax_number": "513-263-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEMA",
        "first_name": "NANDAWULA",
        "middle_name": "KANYEREZI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaid Mustafa
• Lauren N Mustain
• Laurie Kay Mustin, RN, CNP
• Diya F. Mutasim, M. D.
• George K Mutema, M.D.
• Haley Muth
• Winfred Njoki Muthoni
• Gajanthan Muthuvel
• Elizabeth Mutters, PHARMD
• Tiana Mutts

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.