Udapi, Shrinivas R

Udapi, Shrinivas R is an individual health care provider with primary practice located at 7350 Van Dusen Rd Suite # 380, Laurel MD 20707-5263. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Udapi, Shrinivas R can be contacted via phone (301) 776-6514.

Contact Information

Primary practice address
7350 Van Dusen Rd Suite # 380 Laurel MD 20707-5263
Fax: (301) 776-6592
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1962593582
LBN Legal business name Udapi, Shrinivas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Dec 7th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962593582 NPPES
Maryland MEDICAID 767551800

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