Provider Demographics
NPI:1336702471
Name:LEKE-TAMBO, NGUNYI SANDRA (MD)
Entity Type:Individual
Prefix:
First Name:NGUNYI
Middle Name:SANDRA
Last Name:LEKE-TAMBO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NGUNYI
Other - Middle Name:SANDRA
Other - Last Name:LEKE TAMBO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:944 21ST AVE N APT 203
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3418
Mailing Address - Country:US
Mailing Address - Phone:405-413-4124
Mailing Address - Fax:
Practice Address - Street 1:967 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1301
Practice Address - Country:US
Practice Address - Phone:914-798-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7632207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine