RUPAL UDESHI


Address: 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115
Phone: 2406862300

RUPAL UDESHI (NPI# 1104912328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104912328
Entity Type Individual
Full Name RUPAL UDESHI
Credential MD
Practice Address 20010 Century Blvd
Suite 200
Germantown
MD 20874-1115
Mailing Address 310 Robena Way
Rockville
MD 20850
Practice Telephone 2406862300
Practice Fax Number 2406862330
Mailing Telephone 5135232156
Mailing Fax Number 5135232503
Enumeration Date 2006-10-05
Last Update Date 2014-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics D0065767 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH AND IN ANTHEM BCBS 000000484329 01
OH 2663498 05
IN 200826750 05

Office Location

Street Address 20010 CENTURY BLVD
SUITE 200
City GERMANTOWN
State MD
Zip Code 20874-1115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295706828 Napoleon Bustamante Magpantay IIi Emergency Medicine 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2006-01-31
1295265007 Joanne Broomer Nurse Practitioner 20010 Century Blvd, Germantown, MD 20874-1115 2017-06-14
1457809352 Samuel David Grafton Physician Assistant 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2016-09-20
1669929972 Brian Park Physician Assistant 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2016-09-02
1235685280 Alexandra Shankle Physician Assistant 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2016-08-30
1689040354 Sheradyn Pitzer Physician Assistant 20010 Century Blvd, Germantown, MD 20874-1115 2015-08-18
1992113708 Danielle Poole Physician Assistant 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2014-07-24
1922413533 Mayra Alexandra Bailey Physician Assistant 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2014-06-23
1104246974 Nicole Cimino- Fiallos Emergency Medicine 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2014-04-21
1952747586 Emergency Medicine Associates, P.a., P.C. Emergency Medicine 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 2013-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768973 Lauren Grace Dovin Speech-Language Pathologist 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 2019-09-04
1578119376 Kevin Crippen Speech-Language Pathologist Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 2019-08-16
1245700830 Heather Macvean Behavioral Analyst 18100 Chalet Dr Apt 301, Germantown, MD 20874 2018-11-27
1811414014 Wanai Sen Kum Pharmacist 12825 Westeria Drive, Germantown, MD 20874 2017-08-28
1417409160 Bornfree Wellness Centers of America Substance Abuse Rehabilitation Facility 19537 Doctor's Drive, Germantown, MD 20874 2016-10-28
1396119210 Darling St Louis Social Worker 18936 Port Haven Pl, Germantown, MD 20874 2015-11-16
1003289067 Olayiwola O Oloko Home Health Aide 19300 Circle Gate Dr #201, Germantown, MD 20874 2015-11-12
1831562446 Joanne Croos Physical Therapist 13905 Briarwick St, Germantown, MD 20874 2015-11-04
1255717070 Caring Health Services Inc Case Management 12312 Quail Woods Dr, Germantown, MD 20874 2015-08-04
1184007817 Mobile Medical Care, Inc. Clinic/Center 981 Rollins Ave., Rockville, MD 20874 2015-06-30
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770890469 Mary Margaret Hurley, M.d., P.C. Pediatrics 7514 Corporate Center Dr, Germantown, TN 38138-3877 2010-09-02
1831369719 Amy Jo Davison Pediatrics 197 County Route 10, Germantown, NY 12526-5022 2008-03-06
1942415245 Memphis Pediatrics Pllc Pediatrics 1255 South Germantown Road, Germantown, TN 38138 2007-05-11
1942367289 Andrea Dimond Pediatrics 20010 Century Blvd Ste 200, Germantown, MD 20874-1118 2007-01-03
1861554461 Nestor A Alvarado Pediatrics 20904 Seneca Meadows Pkwy, Germantown, MD 20876-7005 2006-12-14
1356400873 Smita Parikh Mengers Pediatrics 19803 Executive Park Circle, Dr Smita Parikh Mengers, Germantown, MD 20874 2006-12-08
1861594996 Aimee Magnant Christian Pediatrics 1255 S Germantown Rd, Germantown, TN 38138-2227 2006-09-01
1992816938 Wendy Rumble Vanbronkhorst Pediatrics 19803 Executive Park Cir, Germantown, MD 20874-2649 2006-08-31
1326057027 Anthony Melvin Senter Pediatrics 2002 Exeter Rd, Germantown, TN 38138 2006-08-05
1851300453 Lelon Opal Edwards Jr. Pediatrics 2004 Exeter Rd, Germantown, TN 38138 2006-08-05
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Competitor

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City GERMANTOWN
Zip Code 20874

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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