Basic Information
Provider Information
NPI: 1790731420
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UMHAU
FirstName: WILLIAM
MiddleName: F.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 507
Address2:  
City: OWINGS
State: MD
PostalCode: 207360507
CountryCode: US
TelephoneNumber: 3018553587
FaxNumber:  
Practice Location
Address1: 100 HOSPITAL RD
Address2:  
City: PRINCE FREDERICK
State: MD
PostalCode: 206784017
CountryCode: US
TelephoneNumber: 3018551012
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/25/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0004XD0033623MDY Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services

No ID Information.


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