Udwadia, Jon M
Udwadia, Jon M is an individual health care provider with primary practice located at 1500 Oglethorpe Ave Ste Cd , Athens GA 30606-2179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Udwadia, Jon M can be contacted via phone (706) 559-4188.Contact Information
Primary practice address
1500 Oglethorpe Ave Ste Cd
Athens GA 30606-2179
Phone: (706) 559-4188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051898 | Georgia |
Profile Details
| NPI number | 1730112657 |
|---|---|
| LBN Legal business name | Udwadia, Jon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 27th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730112657 | NPPES |
| Georgia | MEDICAID | 000964257A |
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