MEDICARE: RAJEN I UDANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	25MA04189700	NJ
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	25MA04189700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0108415000	OTHER	NJ	AMERIHEALTH
2	56831	OTHER	NJ	AETNA LIFE INS
3	223240917	OTHER	NJ	HORIZON BC BS OF NJ
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245224039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJEN I UDANI M.D.

Provider Business Mailing Address
First Line	:	1 FEDERAL ST STE 200
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1088
Country	:	US
Telephone Number	:	848-288-6935
Fax Number	:	732-790-0107

Provider Business Practice Location Address
First Line	:	217 NORTH MAIN STREET
Second Line	:	SUITE 102
City	:	CAPE MAY COURT
State	:	NJ
Zip	:	08210-2165
Country	:	US
Telephone Number	:	609-465-2001
Fax Number	:	609-465-8440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	06/10/2024

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Directions to “ RAJEN I UDANI M.D.” Practice Location

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