Healthcare Provider Details

I. General information

NPI: 1396907945
Provider Name (Legal Business Name): UMARU LABAY-KAMARA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14417 SHADOW RIDGE CT
HUGHESVILLE MD
20637-2008
US

IV. Provider business mailing address

14417 SHADOW RIDGE CT
HUGHESVILLE MD
20637-2008
US

V. Phone/Fax

Practice location:
  • Phone: 506-778-6106
  • Fax: 301-934-3416
Mailing address:
  • Phone: 806-778-6106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0075232
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: