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NPI Code Detail

MEDICARE: MRS. UJWALA PAGEDAR MD, CIC

MEDICARE: MRS. UJWALA PAGEDAR MD, CIC
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
1207R00000XInternal Medicine Physician35.091261OH
2207R00000XInternal Medicine PhysicianME152782FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871627331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. UJWALA PAGEDAR MD, CIC
Provider Business Mailing Address
First Line : 6767 GREENSPIRE DR
Second Line :
City : LEWIS CENTER
State : OH
Zip : 43035-7956
Country : US
Telephone Number : 937-286-6314
Fax Number :
Provider Business Practice Location Address
First Line : 520 N FALKENBURG RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-7884
Country : US
Telephone Number : 813-422-5509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 02/16/2022

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