MEDICARE: IFEOMA L UMEADI

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	104100000X	Social Worker	LG102022	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9544424	OTHER	DC	DRIVER'S LICENSE

General Provider Information

NPI Number	:	1891210860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IFEOMA L UMEADI

Provider Business Mailing Address
First Line	:	1336 MISSOURI AVE NW APT 402
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1826
Country	:	US
Telephone Number	:	202-497-2478
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 MISSOURI AVE NW APT 402
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1826
Country	:	US
Telephone Number	:	202-497-2478
Fax Number	:

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

Provider Enumeration Date	:	08/10/2017
Last Update Date	:	07/21/2022

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Directions to “ IFEOMA L UMEADI ” Practice Location

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