Provider Demographics
NPI:1215217070
Name:MAWINDI, TENDAI M (MD)
Entity Type:Individual
Prefix:DR
First Name:TENDAI
Middle Name:M
Last Name:MAWINDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TENDAI
Other - Middle Name:M
Other - Last Name:MUGWINDIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:605 W TURNER ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4105
Mailing Address - Country:US
Mailing Address - Phone:610-351-9263
Mailing Address - Fax:
Practice Address - Street 1:605 W TURNER ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4105
Practice Address - Country:US
Practice Address - Phone:610-351-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4449422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY50112OtherNASSAU UNIVERSITY MEDICAL CENTER