Provider Demographics
NPI:1952685448
Name:UMEH, ADAEZE UZO
Entity Type:Individual
Prefix:DR
First Name:ADAEZE
Middle Name:UZO
Last Name:UMEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BEACON RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3504
Mailing Address - Country:US
Mailing Address - Phone:410-780-4770
Mailing Address - Fax:410-780-9254
Practice Address - Street 1:101 BEACON RD
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-3504
Practice Address - Country:US
Practice Address - Phone:410-780-4770
Practice Address - Fax:410-780-9254
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist