Provider Demographics
NPI:1225081946
Name:UHDE, THOMAS W (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:W
Last Name:UHDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:67 PRESIDENT ST, MSC 861
Practice Address - Street 2:MEDICAL UNIVERSITY OF SC
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29451
Practice Address - Country:US
Practice Address - Phone:843-792-7267
Practice Address - Fax:843-792-3187
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4246932084P0800X
SCMDAL316382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011104300001Medicaid
PA86190Medicare ID - Type Unspecified
PA1011104300001Medicaid