Healthcare Provider Details

I. General information

NPI: 1447171343
Provider Name (Legal Business Name): JOSHUA NJIMBUC WALINJOM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

V. Phone/Fax

Practice location:
  • Phone: 614-814-1094
  • Fax: 614-292-4550
Mailing address:
  • Phone: 614-814-1094
  • Fax: 614-292-4550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number57261226
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: