Provider Demographics
NPI:1497379077
Name:UMEH, RYAN KANAYOR
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:KANAYOR
Last Name:UMEH
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 1:13303 W AIRPORT BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5800
Mailing Address - Country:US
Mailing Address - Phone:281-277-1071
Mailing Address - Fax:
Practice Address - Street 1:13303 W AIRPORT BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5800
Practice Address - Country:US
Practice Address - Phone:281-277-1071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist