Provider Demographics
NPI:1841573466
Name:NAKIMBUGWE, VICTORIA RITA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:RITA
Last Name:NAKIMBUGWE
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:33 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-1048
Mailing Address - Country:US
Mailing Address - Phone:607-729-8156
Mailing Address - Fax:607-729-3982
Practice Address - Street 1:91 CHENANGO BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-1293
Practice Address - Country:US
Practice Address - Phone:607-648-6667
Practice Address - Fax:607-648-4141
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY302101208000000X
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program