Provider Demographics
NPI:1467424051
Name:UY, JAMES G (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10610 RHODE ISLAND AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2500
Mailing Address - Country:US
Mailing Address - Phone:301-595-8802
Mailing Address - Fax:301-595-8830
Practice Address - Street 1:10610 RHODE ISLAND AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2500
Practice Address - Country:US
Practice Address - Phone:301-595-8802
Practice Address - Fax:301-595-8830
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD30103207L00000X
DCMD15226207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC477131OtherMEDICARE
DC030103800Medicaid
DC030103800Medicaid
MDF70751Medicare UPIN