Individual
DR. UDAY T.R. SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL CENTER DR STE 3N, HAZARD, KY 41701-9478
(606) 439-6779
Mailing address
200 MEDICAL CENTER DR, SUITE 2B, HAZARD, KY 41701-9466
(606) 439-3952
(606) 439-0154
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64271695
—
KY
Enumeration date
02/23/2006
Last updated
04/30/2019
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