MEDICARE: DR. UMAKANT R. KORI MD

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	207Q00000X	Family Medicine Physician	0101248572	VA

General Provider Information

NPI Number	:	1952520934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UMAKANT R. KORI MD

Provider Business Mailing Address
First Line	:	2480 LLEWELLYN AVE
Second Line	:	KIMBROUGH ACC, ATTN: CREDENTIALS OFFICE
City	:	FORT GEORGE G MEADE
State	:	MD
Zip	:	20755-7081
Country	:	US
Telephone Number	:	301-677-8798
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 1ST AVE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20319-3224
Country	:	US
Telephone Number	:	703-657-6925
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	10/31/2023

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