Individual
MAIRAJ UDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.M.P.H.
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 234-8161
(574) 204-7656
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.071525
IL
Other
Enumeration date
04/04/2016
Last updated
08/04/2022
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