Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | D0085874 | MD |
NPI | 1144764259 |
---|---|
Provider Name | Dr. Inara Omuso |
First Address | Damascus, MD 20872-1899 |
Second Address | Damascus, MD 20872-1899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2016 |
Last Update Date | 22/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
907186500 | (05) | MD |