Dr. Mbu Mongwa
Internist Clinical Cardiac Electrophysiologist
611 W Park St Cardiology
Urbana
, Illinois 61801-2529
Dr. Mbu Mongwa
Internist Clinical Cardiac Electrophysiologist
611 W Park St Cardiology
Urbana
, Illinois 61801-2529
(217) 383-6792
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About
Features
Specialties
- Internist
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. Mbu Mongwa
- 611 W Park St Bwpc
- Urbana, IL
- Zip : 61801-2529
- Phone : (217) 383-6792
Second Address
- Dr. Mbu Mongwa
- 611 W Park St Cardiology
- Urbana, IL
- Zip : 61801-2529
- Fax : (217) 904-7742
- Phone : (217) 904-7000
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FAQs
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What type of doctor is Dr. Mbu Mongwa
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Is Dr. Mbu Mongwa a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036123786 | IL |
| N | 111NI0900X | Internist | 036123786 | IL |
| N | 207R00000X | Internist | 056321 | GA |
| N | 111NI0900X | Internist | 056321 | GA |
| N | 207R00000X | Internist | 225666 | NY |
| N | 111NI0900X | Internist | 225666 | NY |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036123786 | IL |
National Provider Identifier
| NPI | 1295947083 |
|---|---|
| Provider Name | Dr. Mbu Mongwa |
| First Address | Urbana, IL 61801-2529 |
| Second Address | Urbana, IL 61801-2529 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 17/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036123786 | (05) | IL |
| P00753211 | RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.