Provider Demographics
NPI:1821416850
Name:MONTGOMERY, UWA IBELEMA (MD)
Entity type:Individual
Prefix:
First Name:UWA
Middle Name:IBELEMA
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4622
Mailing Address - Country:US
Mailing Address - Phone:410-856-3660
Mailing Address - Fax:410-225-8992
Practice Address - Street 1:800 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4622
Practice Address - Country:US
Practice Address - Phone:410-856-3660
Practice Address - Fax:410-225-8992
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0094331208000000X, 207R00000X
IL036146257208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine