Udeshi, Rupal

Udeshi, Rupal is an individual health care provider with primary practice located at 20010 Century Blvd Suite 200, Germantown MD 20874-1115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Udeshi, Rupal can be contacted via phone (240) 686-2300.

Contact Information

Primary practice address
20010 Century Blvd Suite 200 Germantown MD 20874-1115
Fax: (240) 686-2330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0065767 Maryland

Profile Details

NPI number 1104912328
LBN Legal business name Udeshi, Rupal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104912328 NPPES
Indiana MEDICAID 200826750
Indiana Other 000000484329
Indiana MEDICAID 2663498

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