Mwanza, Daniel

Mwanza, Daniel is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mwanza, Daniel can be contacted via phone (585) 922-4518.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3011
Phone: (585) 922-4518
Fax: (585) 336-5113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X S9359 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X S9359 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 02003845A Indiana

Profile Details

NPI number 1275827826
LBN Legal business name Mwanza, Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2011
Last updated Sep 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275827826 NPPES
Oklahoma MEDICAID 200686170A
Oklahoma MEDICAID 218263003

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