Individual
IMELDA CELESTINE UDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10710 CHARTER DR, COLUMBIA, MD 21044-3128
(410) 910-2330
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DOO61545
MD
208M00000X
Hospitalist Physician
D61545
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405675200
—
MD
Enumeration date
09/06/2005
Last updated
03/31/2023
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