Provider Demographics
NPI:1679360945
Name:NGONYAMA, RUMBIDZAI JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:RUMBIDZAI
Middle Name:JEAN
Last Name:NGONYAMA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RUMBIDZAI
Other - Middle Name:JEAN
Other - Last Name:MAJEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6600 EXCELSIOR BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-4713
Mailing Address - Country:US
Mailing Address - Phone:952-993-7705
Mailing Address - Fax:
Practice Address - Street 1:6600 EXCELSIOR BLVD STE 160
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4713
Practice Address - Country:US
Practice Address - Phone:952-993-7705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program