Basic Information
Provider Information
NPI: 1467831537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NGAILE
FirstName: JULIUS
MiddleName: KARIUKI
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5010
Address2:  
City: MINOT
State: ND
PostalCode: 587025010
CountryCode: US
TelephoneNumber: 7018575118
FaxNumber:  
Practice Location
Address1: 1 BURDICK EXPY W
Address2:  
City: MINOT
State: ND
PostalCode: 587014406
CountryCode: US
TelephoneNumber: 7018575124
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2015
LastUpdateDate: 04/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XTL0006349CON Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X15603NDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home