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DR. KISHORE UDYAVAR MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447350335

Individual Registrant:
DR. KISHORE  UDYAVAR MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9600 N POINT RD  FORT HOWARD, MD 21052-3050 US
Tel: 410-477-1800  Fax: --

Contact information for business:
2703 HEAVEN WOOD CT  ELLICOTT CITY, MD 21042-2008 US
Tel: 410-465-7837  Fax: --

Registration Information:
NPI: 1447350335
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA038635

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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