Individual
DR. EHIZODE MARTIN UDEVBULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1295 5TH AVE, APT 16G, NEW YORK, NY 10029-3101
(646) 298-5074
Mailing address
1295 5TH AVE, APT 16G, NEW YORK, NY 10029-3101
(646) 298-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053357
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
276634
NY
Other
Enumeration date
12/12/2013
Last updated
03/17/2021
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