Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 35.143585 | OH |
N | 207RH0003X | Hematology & Oncology | 042.0013333 | VT |
NPI | 1285947507 |
---|---|
Provider Name | Elvira R. Umyarova |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2010 |
Last Update Date | 21/01/2022 |