Individual
DR. JAYADEV MANIKKAM UMAKANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11200 GOVERNOR MANLY WAY STE 102, RALEIGH, NC 27614-7360
(919) 570-7550
Mailing address
1200 OLD YORK RD, DEPT OF INTERNAL MEDICINE, ABINGTON, PA 19001-3720
(215) 481-4105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT200805
PA
207RH0003X
Hematology & Oncology Physician
Primary
2018-01082
NC
Other
Enumeration date
07/16/2012
Last updated
08/16/2022
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