Provider Demographics
NPI:1093036311
Name:MUIGAI, WANJIRU NYINA (MD)
Entity Type:Individual
Prefix:
First Name:WANJIRU
Middle Name:NYINA
Last Name:MUIGAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3752 89TH ST
Mailing Address - Street 2:6D
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7870
Mailing Address - Country:US
Mailing Address - Phone:646-270-5062
Mailing Address - Fax:
Practice Address - Street 1:3752 89TH ST
Practice Address - Street 2:6D
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7870
Practice Address - Country:US
Practice Address - Phone:646-270-5062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.34966208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist