Individual
DR. UDAY S UTHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 LIMESTONE RD, SUITE 201, WILMINGTON, DE 19808-5536
(302) 737-0800
(302) 738-4914
Mailing address
PO BOX 8252, NEWARK, DE 19714-8252
(302) 737-0800
(302) 738-8169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05838200
NJ
208VP0000X
Pain Medicine Physician
Primary
C1-0004306
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000561501
—
DE
01
—
0849086001
AMERIHEALTH NJ
NJ
01
—
1000002346
DPCI
DE
01
—
223661501
BCBS FEP DE
DE
01
—
2641132000
AMERIHEALTH
DE
05
—
6361609
—
NJ
01
—
SA000001920
AMERICHOICE NJ
NJ
Enumeration date
12/04/2006
Last updated
03/09/2016
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