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General NPI Number Information
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NPI Number | 1346862703
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Entity Type | Organization
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Legal Business Name | MIKE C. UMERAH, M.D. INC.
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 500 S UNIVERSITY AVE STE 705
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5372
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Country | US
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Telephone | 501-664-2991
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Fax | 501-664-7111
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Provider Business Mailing Address
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Address Line | 500 S UNIVERSITY AVE STE 705
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5372
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Country | US
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Telephone | 501-664-2991
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Fax | 501-664-7111
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Authorized Official
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Title or Position | CEO
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Name | MIKE C UMERAH
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Credential | MD
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Telephone | 501-664-2991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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