MEDICARE: FRANCIS MUGERWA KATUMBA

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
1	347C00000X	Private Vehicle	MXY1525	TX

General Provider Information

NPI Number	:	1457107898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS MUGERWA KATUMBA

Provider Business Mailing Address
First Line	:	3517 BERRYWOOD DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-4676
Country	:	US
Telephone Number	:	256-520-4120
Fax Number	:

Provider Business Practice Location Address
First Line	:	3517 BERRYWOOD DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-4676
Country	:	US
Telephone Number	:	256-520-4120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	04/26/2024

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