Provider Demographics
NPI:1497747216
Name:HIREMATH, UDAY (MD)
Entity Type:Individual
Prefix:DR
First Name:UDAY
Middle Name:
Last Name:HIREMATH
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 1:3733 EAST GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-5430
Mailing Address - Country:US
Mailing Address - Phone:352-746-3338
Mailing Address - Fax:352-344-3414
Practice Address - Street 1:405 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3838
Practice Address - Country:US
Practice Address - Phone:352-746-3338
Practice Address - Fax:352-344-3414
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME90418208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270242800Medicaid