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Individual
DR. UDAY S UTHAMAN
Active
Individual
DR. UDAY S UTHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05838200
NJ
208VP0000X
Pain Medicine Physician
Primary
C1-0004306
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000561501
—
DE
01
—
0849086001
AMERIHEALTH NJ
NJ
01
—
1000002346
DPCI
DE
01
—
223661501
BCBS FEP DE
DE
01
—
2641132000
AMERIHEALTH
DE
05
—
6361609
—
NJ
01
—
SA000001920
AMERICHOICE NJ
NJ
Enumeration date
12/04/2006
Last updated
03/09/2016
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