Provider Demographics
NPI:1578373874
Name:UMD HEALTH PLLC
Entity type:Organization
Organization Name:UMD HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-921-1292
Mailing Address - Street 1:3322 LONGMIRE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6088
Mailing Address - Country:US
Mailing Address - Phone:979-921-1292
Mailing Address - Fax:979-921-1293
Practice Address - Street 1:3322 LONGMIRE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6088
Practice Address - Country:US
Practice Address - Phone:979-921-1292
Practice Address - Fax:979-921-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty