Healthcare Provider Details

I. General information

NPI: 1003940339
Provider Name (Legal Business Name): UMEZ PODIATRY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 208
BALTIMORE MD
21201-5907
US

IV. Provider business mailing address

1800 N CHARLES ST STE 208
BALTIMORE MD
21201-5907
US

V. Phone/Fax

Practice location:
  • Phone: 410-539-4282
  • Fax: 833-908-2252
Mailing address:
  • Phone: 410-539-4282
  • Fax: 833-908-2252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number00672
License Number StateMD

VIII. Authorized Official

Name: DR. YVONNE U UMEZURIKE
Title or Position: PODIATRIST
Credential: DPM
Phone: 410-698-3866