Provider Demographics
NPI:1497775324
Name:MULLICK, UMESH C (MD)
Entity Type:Individual
Prefix:DR
First Name:UMESH
Middle Name:C
Last Name:MULLICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7350 VAN DUSEN ROAD
Mailing Address - Street 2:# 390
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5264
Mailing Address - Country:US
Mailing Address - Phone:301-725-0110
Mailing Address - Fax:301-725-0867
Practice Address - Street 1:7350 VAN DUSEN ROAD
Practice Address - Street 2:# 390
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5264
Practice Address - Country:US
Practice Address - Phone:301-725-0110
Practice Address - Fax:301-725-0867
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0008357208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics