Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A111701 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A111701 | CA |
NPI | 1073788360 |
---|---|
Provider Name | Dr. Shivani Upadhyay |
First Address | Los Angeles, CA 90051-0717 |
Second Address | Santa Barbara, CA 93111-2341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 23/01/2019 |