Provider Demographics
NPI:1023766854
Name:UMORU, SEHID BUHARI
Entity type:Individual
Prefix:
First Name:SEHID
Middle Name:BUHARI
Last Name:UMORU
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 1:1990 MARY ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-8308
Mailing Address - Country:US
Mailing Address - Phone:850-354-9257
Mailing Address - Fax:
Practice Address - Street 1:1966 PAT THOMAS PKWY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-8785
Practice Address - Country:US
Practice Address - Phone:850-354-9257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory