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DR. KISHORE UDYAVAR MD
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447350335
Individual Registrant:DR. KISHORE UDYAVAR MD
Gender: M
Not Sole Proprietor
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: --
Tel: 410-477-1800 Fax: --
Contact information for business:
2703 HEAVEN WOOD CT ELLICOTT CITY, MD 21042-2008 US
Tel: 410-465-7837 Fax: --
Tel: 410-465-7837 Fax: --
Registration Information:
NPI: 1447350335
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | GA | 038635 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
