Provider Demographics
NPI:1992540827
Name:WAMBUI WARUINGI MD INC
Entity type:Organization
Organization Name:WAMBUI WARUINGI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WAMBUI
Authorized Official - Middle Name:
Authorized Official - Last Name:WARUINGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-253-7249
Mailing Address - Street 1:15870 EAGLE POINT CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7206
Mailing Address - Country:US
Mailing Address - Phone:573-253-7249
Mailing Address - Fax:
Practice Address - Street 1:MERCY MEDICAL CENTER
Practice Address - Street 2:2175 ROSALINE AVE
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-922-0476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty