Udo, Imelda Celestine
Udo, Imelda Celestine is an individual health care provider with primary practice located at 10710 Charter Dr , Columbia MD 21044-3128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Udo, Imelda Celestine can be contacted via phone (410) 910-2330.Contact Information
Primary practice address
10710 Charter Dr
Columbia MD 21044-3128
Phone: (410) 910-2330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D61545 | Maryland |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | DOO61545 | Maryland |
Profile Details
| NPI number | 1568456507 |
|---|---|
| LBN Legal business name | Udo, Imelda Celestine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Mar 31st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568456507 | NPPES |
| Maryland | MEDICAID | 405675200 |
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