Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 146241 | FL |
NPI | 1003177361 |
---|---|
Provider Name | Dr. Prashant Rajesh Upadhyaya |
First Address | Forest Hills, NY 11375-2029 |
Second Address | Hollywood, FL 33021-5421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 23/03/2021 |