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Individual

UDAY PANDURANG PATIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(405) 778-9519
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(405) 778-9519

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26601
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
270302
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/12/2008
Last updated
09/06/2024
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