| Doctor Name: | MR. CHANDRAKANT I. UDANI |
| NPI Number: | 1518974229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA03731800 |
| Business Practice Address: | 5548 Asbury Ave. Ocean City, NJ - 082261236 |
| Business Phone Number: | 6093991519 |
| Business Fax Number: | 6093984712 |
| Mailing Address: | 5548 Asbury Ave., OCEAN CITY |
| State: | NJ |
| Postal Code: | 08226 |
| Phone Number: | 6093991519 |
| Fax Number: | 6093984712 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA03731800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |