Provider Demographics
NPI:1710234174
Name:KAMARA, UMARU
Entity Type:Individual
Prefix:
First Name:UMARU
Middle Name:
Last Name:KAMARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 HATTIES PROGRESS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6317
Mailing Address - Country:US
Mailing Address - Phone:301-655-1603
Mailing Address - Fax:
Practice Address - Street 1:4406 HATTIES PROGRESS DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6317
Practice Address - Country:US
Practice Address - Phone:301-655-1603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-04
Last Update Date:2012-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide