Individual
MR. JAI UTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(559) 459-6000
(650) 367-5230
Mailing address
2210 HASTINGS DR, APT 209, BELMONT, CA 94002-3373
(559) 375-3340
(650) 367-5230
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A84812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A848120
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A848120
—
CA
Enumeration date
07/07/2006
Last updated
10/30/2015
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