Provider Demographics
NPI:1477979029
Name:UMEH, CHIOMA MARCELLINA (DO)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:MARCELLINA
Last Name:UMEH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 PALE ORCHIS CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1513
Mailing Address - Country:US
Mailing Address - Phone:562-818-2011
Mailing Address - Fax:
Practice Address - Street 1:4935 PALE ORCHIS CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1513
Practice Address - Country:US
Practice Address - Phone:562-818-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH88554208D00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program