Individual
UDAYAN K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C10008212
DE
207Y00000X
Otolaryngology Physician
MD061646L
PA
207YP0228X
Pediatric Otolaryngology Physician
C10008212
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001697070
—
PA
05
—
001698095
—
PA
05
—
4126190
—
MD
05
—
7562101
—
NJ
Enumeration date
10/13/2006
Last updated
01/04/2012
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