Provider Demographics
NPI:1821057654
Name:UMA, CHIEMEKA A
Entity Type:Individual
Prefix:DR
First Name:CHIEMEKA
Middle Name:A
Last Name:UMA
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 1:19 WALKER AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4078
Mailing Address - Country:US
Mailing Address - Phone:410-526-1490
Mailing Address - Fax:410-526-9363
Practice Address - Street 1:210 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1230
Practice Address - Country:US
Practice Address - Phone:410-526-1490
Practice Address - Fax:410-526-9363
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059107174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist