Provider Demographics
NPI:1972566800
Name:INYANG, UDEME U (MD)
Entity Type:Individual
Prefix:
First Name:UDEME
Middle Name:U
Last Name:INYANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UDEME
Other - Middle Name:U
Other - Last Name:ESSIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-812-7687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424245207L00000X
NY256614-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0290068Medicaid
PA50103369OtherCAPITAL BLUECROSS
PA100934664Medicaid
PAP00962402OtherRAILROAD MEDICARE
PA12108089OtherCAQH
NJ0290068Medicaid
PA50103369OtherCAPITAL BLUECROSS