Provider Demographics
NPI:1952564536
Name:METKAR, UMESH SHARAD (MD)
Entity Type:Individual
Prefix:
First Name:UMESH
Middle Name:SHARAD
Last Name:METKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:MSC 10 -5600
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4107
Mailing Address - Fax:505-272-8098
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC 10 -5600
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-4107
Practice Address - Fax:505-272-8098
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2023-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAL-236888207X00000X
NYP74826207X00000X
SC33462207X00000X, 207XS0117X
NMMD2021-0255207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery