Provider Demographics
NPI:1871364380
Name:MUWONGE, IGA PAULO
Entity type:Individual
Prefix:
First Name:IGA
Middle Name:PAULO
Last Name:MUWONGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7818 GREENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3034
Mailing Address - Country:US
Mailing Address - Phone:301-793-9011
Mailing Address - Fax:
Practice Address - Street 1:7818 GREENBROOK DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3034
Practice Address - Country:US
Practice Address - Phone:301-793-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator