Provider Demographics
NPI:1578515706
Name:MURTHY, UMA (MD)
Entity Type:Individual
Prefix:
First Name:UMA
Middle Name:
Last Name:MURTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 CENTRE PARK DR
Mailing Address - Street 2:STE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2221
Mailing Address - Country:US
Mailing Address - Phone:410-766-5055
Mailing Address - Fax:410-768-7131
Practice Address - Street 1:8808 CENTRE PARK DR
Practice Address - Street 2:STE 201
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2221
Practice Address - Country:US
Practice Address - Phone:410-766-5055
Practice Address - Fax:410-768-7131
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052609207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404330800Medicaid
MD404330800Medicaid
MDG85045Medicare UPIN