Provider Demographics
NPI:1952377392
Name:NADKARNY, UDAY (MD)
Entity type:Individual
Prefix:
First Name:UDAY
Middle Name:
Last Name:NADKARNY
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 1:690 GOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-544-3700
Mailing Address - Fax:
Practice Address - Street 1:690 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028873E2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000123069OtherUNISON
PA30007499OtherKEYSTONE MERCY
PA50056078OtherKEYSTONE HEALTH PLAN CENTRAL
PA000099340OtherHIGHMARK
PA50056078OtherCAPITAL BLUE CROSS
PA0050435000OtherINDEPENDENCE BLUE CROSS
PA3279931OtherAETNA - HMO
PA000908170 0005Medicaid
PA247OtherGEISINGER
PA0050435000OtherAMERIHEALTH 65 / IBC
PA1505662OtherGATEWAY
PA20013626OtherAMERIHEALTH MERCY
PA5451547OtherAETNA - NON HMO
PA5451547OtherAETNA - NON HMO
PA5451547OtherAETNA - NON HMO