Provider Demographics
NPI:1851373062
Name:UDDOH, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:UDDOH
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 1:41 UNIVERSITY DR STE 106
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 LANSDOWNE AVE STE 208
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1333
Practice Address - Country:US
Practice Address - Phone:610-237-7922
Practice Address - Fax:610-237-3617
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027259207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0053005000OtherIBC
PA0087708203OtherAMERICHOICE OF PA
PA4102267OtherAETNA
PA419937OtherBC BS OF PA
PA09079OtherHEALTH PARTNERS PA
PA1058613OtherKEYSTONE MERCY HEALTH PLA
6076OtherBRAVO ELDERHEALTH
PA0008770820022Medicaid
PA160037382OtherRAILROAD MEDICARE
PAC33772Medicare UPIN
PA419937Medicare PIN