# UDAYAN K SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386734317
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | C10008212 | DE | Yes |
| 207Y00000X | Otolaryngology Physician | MD061646L | PA | — |
| 207YP0228X | Pediatric Otolaryngology Physician | C10008212 | DE | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 01/04/2012