Healthcare Provider Details

I. General information

NPI: 1760687008
Provider Name (Legal Business Name): UMAR WAHEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 08/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S 43RD ST
RENTON WA
98055-5714
US

IV. Provider business mailing address

2 GREENWAY PLZ STE 900
HOUSTON TX
77046-0205
US

V. Phone/Fax

Practice location:
  • Phone: 425-228-3440
  • Fax: 253-395-1954
Mailing address:
  • Phone: 713-798-1750
  • Fax: 713-798-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberP2079
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: