Individual provider · Type 1 NPI

Igor Wanko Mboumi, MD

Surgery Physician · Indianapolis, IN

NPI number 1225473929 Active

Practice location

5255 E Stop 11 Rd Ste 450
Indianapolis, IN 46237-6342

Fax (317) 865-4806

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

  • 6075 Croix Dr, Fitchburg, WI 53719 · (240) 478-5916
  • 6075 Croix Dr, Fitchburg, WI 53719 · (240) 478-5916

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X68807 (WI)
Surgery Physician Primary 208600000X01082242A (IN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1225473929

Igor Wanko Mboumi, MD's National Provider Identifier is 1225473929, issued on May 8, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 24, 2023.