Provider Demographics
NPI:1174865166
Name:KADEKODI, UMA NARAYAN
Entity Type:Individual
Prefix:MRS
First Name:UMA
Middle Name:NARAYAN
Last Name:KADEKODI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:UMA
Other - Middle Name:
Other - Last Name:KADEKODI-DORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC
Mailing Address - Street 1:2621 PLAZA DEL AMO UNIT 533
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-7353
Mailing Address - Country:US
Mailing Address - Phone:310-740-1251
Mailing Address - Fax:
Practice Address - Street 1:2621 PLAZA DEL AMO UNIT 533
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-7353
Practice Address - Country:US
Practice Address - Phone:310-740-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist