Provider Demographics
NPI:1710148556
Name:UMEZURIKE, YVONNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:UMEZURIKE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:OZUZU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:301 SAINT PAUL PL
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-539-4282
Mailing Address - Fax:410-539-4281
Practice Address - Street 1:301 SAINT PAUL PL
Practice Address - Street 2:SUITE 420
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-539-4281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006072213ES0103X
MD01502213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery