Provider Demographics
NPI:1801059183
Name:UDANI, PARAS CHANDRAKANT (DO)
Entity type:Individual
Prefix:DR
First Name:PARAS
Middle Name:CHANDRAKANT
Last Name:UDANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 907
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NJ
Mailing Address - Zip Code:08240-0907
Mailing Address - Country:US
Mailing Address - Phone:609-442-8236
Mailing Address - Fax:609-652-8023
Practice Address - Street 1:208 W WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240-0907
Practice Address - Country:US
Practice Address - Phone:609-442-8236
Practice Address - Fax:609-652-8023
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08386800207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease