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NPI Code Detail

MEDICARE: CHEMTAI MUNGO MD

MEDICARE: CHEMTAI MUNGO MD
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
1207V00000XObstetrics & Gynecology Physician2021-03232NC

General Provider Information

NPI Number : 1720406788
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEMTAI MUNGO MD
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 420
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5491
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-843-9436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2014
Last Update Date : 12/18/2025

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