Individual
MIKE C UMERAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 705, LITTLE ROCK, AR 72205-5302
(501) 664-2991
(501) 664-7111
Mailing address
500 S UNIVERSITY AVE, SUITE 705, LITTLE ROCK, AR 72205-5302
(501) 664-2991
(501) 664-7111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E4217
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158107001
—
AR
01
—
P00322829
RAILROAD MEICARE
AR
Enumeration date
12/16/2005
Last updated
05/08/2020
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