Provider Demographics
NPI:1366018962
Name:AMUTUHAIRE, WILLINGTON (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLINGTON
Middle Name:
Last Name:AMUTUHAIRE
Suffix:
Gender:M
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:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Mailing Address - Street 2:11100 EUCLID AVE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-306-9147
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE UNIVERSITY HOSPITALS CLEVELAND MEDICAL
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2023-04-24
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2023-04-24
Provider Licenses
StateLicense IDTaxonomies
OH57250472390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program