MUTWALI MASHA
NPI 1053909788
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Mutwali Masha's NPI number?

The NPI number for Mutwali Masha is 1053909788. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is Mutwali Masha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mutwali Masha was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2021

5465 GULL RD, KALAMAZOO, MI 49048(269) 349-7631 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mutwali Masha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUTWALI MASHA (NPI 1053909788) is an individual student in an organized health care education/training program in Kalamazoo, Michigan and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1053909788

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMUTWALI MASHA

Location Address5465 GULL RDKalamazoo, MI 49048-1014

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899

Phone(269) 349-7631

Sole ProprietorNo

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1053909788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5465 GULL RD, Kalamazoo, MI 49048

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTEN STOREMSKI

Optometrist

5465 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 349-7631

MYEYEDR OPTOMETRY OF MICHIGAN, LLC

Optometrist

5465 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 349-7631

RX OPTICAL LABORATORIES, INC.

Optometrist

5465 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 349-7631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mutwali Masha's NPI number?

The NPI number for Mutwali Masha is 1053909788. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Mutwali Masha located?

Mutwali Masha practices at 5465 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 349-7631.

What is Mutwali Masha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mutwali Masha was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.