Udaya Kumar Damodaran, MD
Student in an Organized Health Care Education/Training Program in Worcester, MA. Individual provider (NPI-1).
NPI number1558190835
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1558190835
- Entity type
- Individual (NPI-1)
- Name
- Udaya Kumar Damodaran
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2024
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 3017275 | MA | Yes |
Practice location
123 Summer StWorcester, MA 01608-1216
Phone 508-363-5000
Mailing address
123 Summer StWorcester, MA 01608-1216
Phone 508-363-5000
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