Dr Kishore Udyavar, MD is a medicare enrolled "Internal Medicine" physician in Fort Howard, Maryland. His current practice location is
9600 N Point Rd, Fort Howard, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 477-1800.
Dr Kishore Udyavar is licensed to practice in Georgia (license number 038635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447350335.
Physician's Profile
Full Name | Dr Kishore Udyavar |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 9600 N Point Rd, Fort Howard, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447350335
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143404897
- Enrollment ID: I20110405000468
Medical Identifiers
Medical identifiers for Dr Kishore Udyavar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447350335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 038635 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kishore Udyavar is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kishore Udyavar, MD 2703 Heaven Wood Ct, Ellicott City, MD 21042-2008 Ph: (410) 465-7837 | Dr Kishore Udyavar, MD 9600 N Point Rd, Fort Howard, MD 21052-3050 Ph: (410) 477-1800 |
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