Provider Demographics
NPI:1427845361
Name:UDDARAJU INC
Entity type:Organization
Organization Name:UDDARAJU INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:UDDARAJU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-687-0343
Mailing Address - Street 1:401 GREGORY LN STE 218
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2846
Mailing Address - Country:US
Mailing Address - Phone:925-687-0343
Mailing Address - Fax:
Practice Address - Street 1:401 GREGORY LN STE 218
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2846
Practice Address - Country:US
Practice Address - Phone:925-687-0343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA108378OtherDENTAL LICENSE