Provider Demographics
NPI:1801844634
Name:HUDED, DAYANAND V (MD)
Entity Type:Individual
Prefix:MR
First Name:DAYANAND
Middle Name:V
Last Name:HUDED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 BRISTOL DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-3111
Mailing Address - Country:US
Mailing Address - Phone:516-921-0875
Mailing Address - Fax:347-783-7737
Practice Address - Street 1:9033 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7935
Practice Address - Country:US
Practice Address - Phone:718-457-7000
Practice Address - Fax:718-457-0651
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2013-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY192724207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01973Medicare UPIN
08068Medicare PIN