Provider Demographics
NPI:1043406200
Name:NJALAMIMBA, MUSHOBA (MD)
Entity type:Individual
Prefix:
First Name:MUSHOBA
Middle Name:
Last Name:NJALAMIMBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 GREEN KNOLL DR
Mailing Address - Street 2:N416 DOAN HALL
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7045
Mailing Address - Country:US
Mailing Address - Phone:614-846-1705
Mailing Address - Fax:
Practice Address - Street 1:2015 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-4337
Practice Address - Country:US
Practice Address - Phone:765-649-2511
Practice Address - Fax:765-646-8578
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-013176207L00000X
IN01070006A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology