Healthcare Provider Details
I. General information
NPI: 1659317618
Provider Name (Legal Business Name): UMA BEDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 NAPA VALLEJO HIGHWAY
NAPA CA
94558-6293
US
IV. Provider business mailing address
1600 9TH STREET ROOM 205 MAILSTOP 2-3
SACRAMENTO CA
95814-6414
US
V. Phone/Fax
- Phone: 707-253-5000
- Fax: 707-253-5513
- Phone: 916-654-2431
- Fax: 916-654-3186
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A35888 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: