Provider Demographics
NPI:1558568865
Name:DAVAE, UMEE A (DO)
Entity Type:Individual
Prefix:DR
First Name:UMEE
Middle Name:A
Last Name:DAVAE
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 1:3060 EL CERRITO PLZ # 202
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-4011
Mailing Address - Country:US
Mailing Address - Phone:847-250-7573
Mailing Address - Fax:
Practice Address - Street 1:2020 MILVIA ST STE 300
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704
Practice Address - Country:US
Practice Address - Phone:510-843-2220
Practice Address - Fax:510-843-2227
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250499212084P0800X
CA20A135092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry