Provider Demographics
NPI:1023755030
Name:OUMA HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:OUMA HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-814-1872
Mailing Address - Street 1:2580 BEAR HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-8525
Mailing Address - Country:US
Mailing Address - Phone:410-814-1872
Mailing Address - Fax:
Practice Address - Street 1:3267 BEE CAVES RD STE 107-334
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6700
Practice Address - Country:US
Practice Address - Phone:512-688-6504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty