Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | DO3203 | ME |
NPI | 1083957153 |
---|---|
Provider Name | Umber Ahmad |
First Address | Oakland, CA 94612-3429 |
Second Address | Brewer, ME 04412-1021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 15/07/2021 |