Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 263848 | NY |
Y | 2080P0210X | Pediatric Nephrologist | ME116049 | FL |
NPI | 1588831291 |
---|---|
Provider Name | Kiran K Upadhyay |
First Address | Gainesville, FL 32610-0296 |
Second Address | Gainesville, FL 32610-0296 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 26/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008874100 | (05) | FL |
201029000 | (05) | IN |
7100170360 | (05) | KY |