Shrinivas R. Udapi And Padmaja S. Udapi, M.d., P.a. | |
7350 Van Dusen Rd Suite #380 Laurel MD 20707-5263 | |
(301) 776-6514 | |
(301) 776-6592 |
Full Name | Shrinivas R. Udapi And Padmaja S. Udapi, M.d., P.a. |
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Speciality | Internal Medicine |
Location | 7350 Van Dusen Rd, Laurel, Maryland |
Authorized Official Name and Position | Laura Smith (OFFICE MANAGER) |
Authorized Official Contact | 3017766514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shrinivas R. Udapi And Padmaja S. Udapi, M.d., P.a. 7350 Van Dusen Rd Suite #380 Laurel MD 20707-5263 Ph: (301) 776-6514 | Shrinivas R. Udapi And Padmaja S. Udapi, M.d., P.a. 7350 Van Dusen Rd Suite #380 Laurel MD 20707-5263 Ph: (301) 776-6514 |
NPI Number | 1952553281 |
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Provider Enumeration Date | 10/17/2008 |
Last Update Date | 12/22/2009 |
Medicare PECOS PAC ID | 5294896106 |
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Medicare Enrollment ID | O20081211000032 |
Identifier | Type | State | Issuer |
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1952553281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D21200 (Maryland) | Primary |
Provider Name | Shrinivas Udapi |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1962593582 PECOS PAC ID: 8325100993 Enrollment ID: I20081217000070 |
Provider Name | Padmaja S Udapi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1184699381 PECOS PAC ID: 7416019088 Enrollment ID: I20081217000106 |
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