Individual
UDAY B NANAVATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 SAINT PATRICKS DR, WALDORF, MD 20603-4527
(301) 705-7870
(301) 705-7628
Mailing address
700 GEIPE RD, SUITE 267 C, CATONSVILLE, MD 21228-4147
(410) 747-8880
(410) 747-8882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0051119
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0051119
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0051119
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0051119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702000700
—
MD
01
—
K519184115302
CAREFIRST
MD
01
—
W66210123
CAREFIRST
DC
Enumeration date
04/01/2006
Last updated
08/28/2023
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