Provider Demographics
NPI:1922157965
Name:PATEL, UDAY RAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:UDAY
Middle Name:RAMAN
Last Name:PATEL
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 1:110 HOSPITAL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4019
Mailing Address - Country:US
Mailing Address - Phone:866-705-5729
Mailing Address - Fax:410-535-6954
Practice Address - Street 1:110 HOSPITAL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:866-705-5729
Practice Address - Fax:410-535-6954
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD58722207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD200045692OtherMEDICARE RAIL ROAD PRDR #
MD200045692OtherMEDICARE RAIL ROAD PRDR #
MDF122Medicare ID - Type Unspecified