Healthcare Provider Details

I. General information

NPI: 1114084613
Provider Name (Legal Business Name): UMA CHODAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8177 WEST GLADES ROAD SUITE 201
BOCA RATON FL
33434-4022
US

IV. Provider business mailing address

8177 WEST GLADES ROAD SUITE 201
BOCA RATON FL
33434-4022
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-8874
  • Fax: 561-488-8744
Mailing address:
  • Phone: 561-488-8874
  • Fax: 561-488-8744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME78301
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME78301
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: