Healthcare Provider Details
I. General information
NPI: 1164660395
Provider Name (Legal Business Name): FRANCESCA MARIE UBEROI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/26/2009
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 OLD COURT RD LIFEBRIDGE ANESTHESIA LLC
RANDALLSTOWN MD
21133-5103
US
IV. Provider business mailing address
5401 OLD COURT RD
RANDALLSTOWN MD
21133-5103
US
V. Phone/Fax
- Phone: 410-701-4547
- Fax: 417-701-4342
- Phone: 410-701-4547
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | D0068581 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: