| Miu Center | |
|
57 W Timonium Rd Ste 305 Lutherville Timonium MD 21093-3106 | |
| (860) 573-8109 | |
| Not Available |
| Full Name | Miu Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 W Timonium Rd Ste 305, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | Munachim Uyanwune (OWNER) |
| Authorized Official Contact | 4432752068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miu Center 57 W Timonium Rd Ste 305 Lutherville Timonium MD 21093-3106 Ph: (443) 275-2068 | Miu Center 57 W Timonium Rd Ste 305 Lutherville Timonium MD 21093-3106 Ph: (860) 573-8109 |
| NPI Number | 1396401022 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Medicare PECOS PAC ID | 8527446418 |
|---|---|
| Medicare Enrollment ID | O20220606001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396401022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Munachim Uyanwune |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710203591 PECOS PAC ID: 8022236967 Enrollment ID: I20140905001550 |
| Provider Name | Whitney L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289890 PECOS PAC ID: 4183903453 Enrollment ID: I20161110000341 |
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