Provider Demographics
NPI:1184699381
Name:UDAPI, PADMAJA S (MD)
Entity type:Individual
Prefix:DR
First Name:PADMAJA
Middle Name:S
Last Name:UDAPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7350 VAN DUSEN RD
Mailing Address - Street 2:SUITE# 380
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5263
Mailing Address - Country:US
Mailing Address - Phone:301-776-6514
Mailing Address - Fax:301-776-6592
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:SUITE# 380
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5263
Practice Address - Country:US
Practice Address - Phone:301-776-6514
Practice Address - Fax:301-776-6592
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD24174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B69814Medicare UPIN
415003Medicare ID - Type Unspecified