Provider Demographics
NPI:1447000625
Name:UMAH, KUYIK-ABASI B
Entity type:Individual
Prefix:
First Name:KUYIK-ABASI
Middle Name:B
Last Name:UMAH
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 1:9546 WESTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3726
Mailing Address - Country:US
Mailing Address - Phone:410-814-1097
Mailing Address - Fax:
Practice Address - Street 1:9546 WESTWOOD CT
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-3726
Practice Address - Country:US
Practice Address - Phone:410-814-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR241182163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse