Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301092577 | MI |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.123057 | OH |
NPI | 1598915035 |
---|---|
Provider Name | Dr. Shankar Upadhyayula |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308-1063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2008 |
Last Update Date | 23/05/2014 |