National Provider Identifier

Jonathan Chimaeze Umelo, MD

Jonathan Chimaeze Umelo, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5168.

NPI 1881270775Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1881270775
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 22, 2021
Last Updated
March 22, 2021

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-5168

Mailing Address

  • 3207 Candlebrook Dr
  • Wylie, TX 75098-7395

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1881270775
Entity Type
Individual
Last Name
Umelo
First Name
Jonathan
Middle Name
Chimaeze
Credential
MD
Mailing Street Address
3207 Candlebrook Dr
Mailing City
Wylie
Mailing State
TX
Mailing ZIP Code
75098-7395
Mailing Country
US
Mailing Phone
(469) 274-5767
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-5168
Practice Fax
(585) 276-2288
Enumeration Date
March 22, 2021
Last Updated
March 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)