Dr. John N Udall
M.D. | Pediatric Gastroenterology | Male
Dr. John N Udall, M.D. is a Charleston, West Virginia based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. John N Udall is
830 Pennsylvania Ave, Suite 103, Charleston, West Virginia - 25302. He can be contacted on phone at
304-388-1552 and fax number 304-388-1577.
Dr. John N Udall is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John N Udall is
1346341211 which was assigned by NPPES on 25 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. John N Udall license number is
21878 for Pediatrics Pediatric Gastroenterology (2080P0206X) in West Virginia.
Dr. John N Udall specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. John N Udall basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. John N Udall |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. John N Udall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 830 Pennsylvania Ave, Suite 103
Charleston, WV, 25302
United States |
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| Phone Number : | 304-388-1552 |
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| Fax Number : | 304-388-1577 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346341211 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John N Udall are as mentioned. Primary taxonomy code for Dr. John N Udall, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 21878 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John N Udall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3810001803 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 7000
Morgantown, WV, 26507-7000
United States |
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| Phone Number : | 304-347-1290 |
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| Fax Number : | 304-347-1397 |
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Business Location:
Patients can refer following map for directions to
Dr. John N Udall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.