Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | A49787 | CA |
NPI | 1013957190 |
---|---|
Provider Name | Gargi H Upadhyaya |
First Address | Pasadena, CA 91106-4005 |
Second Address | Pasadena, CA 91106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 02/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G66104 | (02) | CA |