Provider Demographics
NPI:1710203591
Name:UYANWUNE, MUNACHIM IFEOMA (MD)
Entity Type:Individual
Prefix:
First Name:MUNACHIM
Middle Name:IFEOMA
Last Name:UYANWUNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:57 W TIMONIUM RD STE 305
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3106
Mailing Address - Country:US
Mailing Address - Phone:443-275-2068
Mailing Address - Fax:410-705-0074
Practice Address - Street 1:57 W TIMONIUM RD STE 305
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3106
Practice Address - Country:US
Practice Address - Phone:443-275-2068
Practice Address - Fax:410-705-0074
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD777032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry