Individual
DR. KISHORE UDYAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9600 N POINT RD, FORT HOWARD, MD 21052-3050
(410) 477-1800
Mailing address
2703 HEAVEN WOOD CT, ELLICOTT CITY, MD 21042-2008
(410) 465-7837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038635
GA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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