Provider Demographics
NPI:1689684698
Name:UMEH, IFEANYI CHINEDU (MD)
Entity Type:Individual
Prefix:DR
First Name:IFEANYI
Middle Name:CHINEDU
Last Name:UMEH
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1615 BUNKER HILL WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6013
Mailing Address - Country:US
Mailing Address - Phone:831-796-1304
Mailing Address - Fax:831-757-0291
Practice Address - Street 1:3155 DE FOREST RD
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-2702
Practice Address - Country:US
Practice Address - Phone:831-384-1445
Practice Address - Fax:831-384-1454
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA89280207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15683ZOtherMEDICARE GROUP