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Organization
VICTORY SPRINGS, INC
Active
Organization
VICTORY SPRINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALU A UMA M.D. (PRESIDENT)
(410) 526-1490
Entity
Organization
Contact information
Practice address
210 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1230
(410) 526-1490
(410) 526-9363
Mailing address
210 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1230
(410) 526-1490
(410) 526-9363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059107
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0059107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
RAILROAD MEDICARE
MD
05
—
211400300
—
MD
01
—
850L
MEDICARE
MD
01
—
G988
BC/BS FEDERAL PROGRAM
MD
01
—
LRV2VI
BLUE CROSS
MD
Enumeration date
05/31/2006
Last updated
09/11/2009
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