Provider Demographics
NPI:1477906618
Name:DHAL, UDIT (MD)
Entity Type:Individual
Prefix:
First Name:UDIT
Middle Name:
Last Name:DHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4320 WORNALL RD STE 440
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3235
Mailing Address - Country:US
Mailing Address - Phone:816-932-0150
Mailing Address - Fax:816-932-0151
Practice Address - Street 1:4320 WORNALL RD STE 440
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3235
Practice Address - Country:US
Practice Address - Phone:816-932-0150
Practice Address - Fax:816-932-0151
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022049472207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease