MEDICARE: DR. YVONNE UMEZURIKE D.P.M

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC006072	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	01502	MD

General Provider Information

NPI Number	:	1710148556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVONNE UMEZURIKE D.P.M

Provider Business Mailing Address
First Line	:	301 SAINT PAUL PL
Second Line	:	SUITE 420
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2102
Country	:	US
Telephone Number	:	410-539-4282
Fax Number	:	410-539-4281

Provider Business Practice Location Address
First Line	:	301 SAINT PAUL PL
Second Line	:	SUITE 420
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2102
Country	:	US
Telephone Number	:	410-539-4281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	05/20/2019

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Directions to “ DR. YVONNE UMEZURIKE D.P.M” Practice Location

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