Individual
RUPAL UDESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
(240) 686-2300
(240) 686-2330
Mailing address
310 ROBENA WAY, ROCKVILLE, MD 20850
(513) 523-2156
(513) 523-2503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0065767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484329
OH AND IN ANTHEM BCBS
—
05
—
200826750
—
IN
05
—
2663498
—
OH
Enumeration date
10/05/2006
Last updated
10/13/2014
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