Provider Demographics
NPI:1609827039
Name:JAMALUDDIN, UMAIMA S (MD)
Entity type:Individual
Prefix:DR
First Name:UMAIMA
Middle Name:S
Last Name:JAMALUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W COLUMBUS ST
Mailing Address - Street 2:STE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1200
Mailing Address - Country:US
Mailing Address - Phone:661-327-3821
Mailing Address - Fax:661-327-2061
Practice Address - Street 1:100 W COLUMBUS ST
Practice Address - Street 2:STE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1200
Practice Address - Country:US
Practice Address - Phone:661-321-4310
Practice Address - Fax:661-327-4726
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29392207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A293920Medicaid
CAA25741Medicare UPIN