Hema Udupa, B.D.S.,M.S

Individual provider Active NPI Oral and Maxillofacial Radiology Dentistry · Overland Park, KS

NPI 1235604653 · NPPES record last updated Oct 11, 2018

Key facts

NPI
1235604653
Entity type
Individual (NPI type 1)
Primary specialty
Oral and Maxillofacial Radiology Dentistry 1223X0008X
License
29119 (TX)
Practice address
7617 W 144TH St
Overland Park, KS 66223-2130
Phone
(210) 446-9430
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 29119 TX Yes

Addresses

Primary practice location

7617 W 144TH St
Overland Park, KS 66223-2130

Mailing address

7617 W 144TH St
Overland Park, KS 66223-2130

Other providers in Overland Park, KS

All providers in Overland Park, KS · Oral and Maxillofacial Radiology Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.