NPI 1043675028

Martin Boniface Gitobu Mutonga

Practitioner Vascular & Interventional Radiology Physician New Orleans, LA

Practice location

Address: 1514 Jefferson Hwy, New Orleans, LA 70121-2429
Phone: (504) 842-3470
Fax: (504) 842-7372

Registered specialties (3)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 345108 (LA)

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Neuroradiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence 345108 (LA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Louisiana →

Registry record

NPI: 1043675028
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2015
Record last updated: 18 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.