Individual
CESAR P UDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SHADOW LN STE 101, LAS VEGAS, NV 89106-4355
(702) 382-7760
(702) 382-7871
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11188
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104840529
BCBSM - BRONSON
MI
01
—
11188
STATE LICENSE
NV
05
—
1447267570
—
MI
05
—
1447267570
—
NV
Enumeration date
08/02/2006
Last updated
04/15/2024
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