Kodiyalam, Uthra
Kodiyalam, Uthra is an individual health care provider with primary practice located at 55 Morris Ave Suite 300, Springfield NJ 07081-1426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kodiyalam, Uthra can be contacted via phone (973) 379-9601.Contact Information
Primary practice address
55 Morris Ave Suite 300
Springfield NJ 07081-1426
Phone: (973) 379-9601
Fax: (973) 467-6779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA066933 | New Jersey |
Profile Details
| NPI number | 1770545501 |
|---|---|
| LBN Legal business name | Kodiyalam, Uthra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Sep 2nd, 2010 - about 15 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 | 1770545501 | NPPES |
| New Jersey | Other | MA066933 | LICENSE |
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