Provider Demographics
NPI:1750887741
Name:WUTAWUNASHE, CALEB VHEZINKONSO (MD)
Entity type:Individual
Prefix:MR
First Name:CALEB
Middle Name:VHEZINKONSO
Last Name:WUTAWUNASHE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:LENOX HILL HOSPITAL 100 EAST 77 STREET
Mailing Address - Street 2:DEPARTMENT OF MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075
Mailing Address - Country:US
Mailing Address - Phone:212-434-2422
Mailing Address - Fax:212-434-2246
Practice Address - Street 1:LENOX HILL HOSPITAL 100 EAST 77 STREET
Practice Address - Street 2:DEPARTMENT OF MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075
Practice Address - Country:US
Practice Address - Phone:212-434-2422
Practice Address - Fax:212-434-2246
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-11-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program