Desilva, Udaya
Desilva, Udaya is an sole proprietor health care provider with primary practice located at 623 W Avenue Q Suite A, Palmdale CA 93551-3890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Desilva, Udaya can be contacted via phone (661) 726-6255.Contact Information
Primary practice address
623 W Avenue Q Suite A
Palmdale CA 93551-3890
Phone: (661) 726-6255
Fax: (661) 726-6261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A48836 | California |
Profile Details
| NPI number | 1730100330 |
|---|---|
| LBN Legal business name | Desilva, Udaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | May 14th, 2021 - about 3 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 | 1730100330 | NPPES |
| California | MEDICAID | 00A488360 |
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