Provider Demographics
NPI:1568051621
Name:UDARE, ASHLESHA SATISH (MBBS,MD,DNB)
Entity Type:Individual
Prefix:DR
First Name:ASHLESHA
Middle Name:SATISH
Last Name:UDARE
Suffix:
Gender:F
Credentials:MBBS,MD,DNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SAINT JAMES CT
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3702
Mailing Address - Country:US
Mailing Address - Phone:215-391-0889
Mailing Address - Fax:
Practice Address - Street 1:132 S 10TH ST # S
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5244
Practice Address - Country:US
Practice Address - Phone:215-823-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4813962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology