Provider Demographics
NPI:1659124923
Name:KING, MUNIFA DANA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MUNIFA
Middle Name:DANA
Last Name:KING
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MUNIFA
Other - Middle Name:DANA
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:833 CHESTNUT ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4405
Mailing Address - Country:US
Mailing Address - Phone:215-955-2363
Mailing Address - Fax:215-955-8600
Practice Address - Street 1:833 CHESTNUT ST STE 301
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4405
Practice Address - Country:US
Practice Address - Phone:215-955-2363
Practice Address - Fax:215-955-8600
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program