Provider Demographics
NPI:1073228151
Name:IWUH, DORIS U
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:U
Last Name:IWUH
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:DORIS
Other - Middle Name:U
Other - Last Name:ADZEYUF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6609 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-2315
Mailing Address - Country:US
Mailing Address - Phone:410-368-6000
Mailing Address - Fax:
Practice Address - Street 1:10400 LITTLE PATUXENT PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3518
Practice Address - Country:US
Practice Address - Phone:571-977-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1042926363LP0808X
MDR224580363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health