Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35126504 | OH |
Y | 111NI0900X | Internist | 35126504 | OH |
NPI | 1003059684 |
---|---|
Provider Name | Leah Wangeci Muthuri |
First Address | Westerville, OH 43082-9808 |
Second Address | Westerville, OH 43082-9808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 19/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0140176 | (05) | OH |