Individual
DR. JAMIE UDWADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 ACADEMY ST S, AHOSKIE, NC 27910-3239
(252) 209-3690
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3690
(252) 209-3691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200400087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1382P
BCBSNC
NC
05
—
8913712
—
NC
Enumeration date
02/21/2007
Last updated
08/18/2008
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