Provider Demographics
NPI:1134220569
Name:UDHWANI, HEENA A (OD)
Entity type:Individual
Prefix:DR
First Name:HEENA
Middle Name:A
Last Name:UDHWANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9200 VITRACO PARK MALL
Mailing Address - Street 2:STE 12
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-715-3937
Mailing Address - Fax:340-715-3934
Practice Address - Street 1:9200 VITRACO PARK MALL
Practice Address - Street 2:STE 12
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-715-3937
Practice Address - Fax:340-715-3934
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI44152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist