| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/17/2008 |
| Last Update Date | 12/22/2009 |
| Medicare PECOS PAC ID | 5294896106 |
|---|---|
| Medicare Enrollment ID | O20081211000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952553281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D21200 (Maryland) | Primary |
| Provider Name | Shrinivas Udapi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962593582 PECOS PAC ID: 8325100993 Enrollment ID: I20081217000070 |
| Provider Name | Padmaja S Udapi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184699381 PECOS PAC ID: 7416019088 Enrollment ID: I20081217000106 |
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