Provider Demographics
NPI:1962481002
Name:SANTHANAM, UMA (MD)
Entity Type:Individual
Prefix:
First Name:UMA
Middle Name:
Last Name:SANTHANAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 643503
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0308
Mailing Address - Country:US
Mailing Address - Phone:513-893-3300
Mailing Address - Fax:513-893-3302
Practice Address - Street 1:20 N E ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3046
Practice Address - Country:US
Practice Address - Phone:513-893-3300
Practice Address - Fax:513-893-3302
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077574207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000372768OtherANTHEM B/C B/S
OH2227843Medicaid
OH000000372768OtherANTHEM B/C B/S
OH2227843Medicaid