| Dr Reshmi Udesh, MBBS | |
| 201 Health Service Drive, Seaford, DE 19973 | |
| (302) 297-2504 | |
| (302) 297-2505 | 
| Full Name | Dr Reshmi Udesh | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 201 Health Service Drive, Seaford, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770014474 | NPI | - | NPPES | 
| 1770014474 | Medicaid | DE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | C1-0025271 (Delaware) | Primary | 
| Entity Name | Tidalhealth Physician Network, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Reshmi Udesh, MBBS Howard University Hospital 2041 Georgia Ave Nw, Washington, DC 20059-0001 Ph: () - | Dr Reshmi Udesh, MBBS 201 Health Service Drive, Seaford, DE 19973 Ph: (302) 297-2504 | 
| Stephen Daniel Carey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 543 N Shipley St, Suite A, Seaford, DE 19973 Phone: 302-629-8662 Fax: 302-629-7661 | |
| Samuel K. Miller, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 543 N Shipley St, Suite A, Seaford, DE 19973 Phone: 302-629-8662 Fax: 302-629-7661 | |
| Dr. Christine Danielle Hannaway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rawlins Drive, Seaford, DE 19973 Phone: 302-628-4270 |