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NPI Code Detail

MEDICARE: MAINA N MUNGAI D.O

MEDICARE: MAINA N MUNGAI D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34-010621OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255569208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAINA N MUNGAI D.O
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 305-628-6117
Fax Number : 305-393-5989
Provider Business Practice Location Address
First Line : 5264 LEE RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1232
Country : US
Telephone Number : 216-294-4440
Fax Number : 216-249-6032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 01/21/2026

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Directions to “ MAINA N MUNGAI D.O” Practice Location

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