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Individual

MR. ASHISH UDESHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5545 N WICKHAM RD STE 104, MELBOURNE, FL 32940-7323
(321) 784-8211
Mailing address
5545 N WICKHAM RD STE 104, MELBOURNE, FL 32940-7323
(321) 784-8211
(321) 394-9429

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME113390
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME113390
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14RP9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/08/2008
Last updated
10/06/2022
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