MEDICARE: UMAMA ADIL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	111494	GA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	111494	GA
3	207RP1001X	Pulmonary Disease Physician	036157133	IL

General Provider Information

NPI Number	:	1033524368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMAMA ADIL MD

Provider Business Mailing Address
First Line	:	1107 MEMORIAL DR STE 100
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8662
Country	:	US
Telephone Number	:	706-529-3072
Fax Number	:	706-529-3077

Provider Business Practice Location Address
First Line	:	1107 MEMORIAL DR STE 100
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8662
Country	:	US
Telephone Number	:	706-529-3072
Fax Number	:	706-529-3077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/08/2026

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Directions to “ UMAMA ADIL MD” Practice Location

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