Mira Upadhyaya
Internist Internist - Addiction Medicine
22-18 Broadway
Fair Lawn
, New Jersey 07410-3016
Mira Upadhyaya
Internist Internist - Addiction Medicine
22-18 Broadway
Fair Lawn
, New Jersey 07410-3016
(201) 475-5522
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mira Upadhyaya
- 22-18 Broadway
- Fair Lawn, NJ
- Zip : 07410-3016
- Fax : (201) 475-5522
- Phone : (201) 475-5050
Second Address
- Mira Upadhyaya
- 22-18 Broadway
- Fair Lawn, NJ
- Zip : 07410-3016
- Phone : (973) 321-2755
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What type of doctor is Mira Upadhyaya
In what state does Mira Upadhyaya practice in?
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Is Mira Upadhyaya a sole practitioner?
Is Mira Upadhyaya accepting new patients?
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Does Mira Upadhyaya offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 25MA10880000 | NJ |
| Y | 111NI0900X | Internist | 25MA10880000 | NJ |
| N | 207RA0401X | Internist - Addiction Medicine | 25MA10880000 | NJ |
National Provider Identifier
| NPI | 1730530171 |
|---|---|
| Provider Name | Mira Upadhyaya |
| First Address | Fair Lawn, NJ 07410-3016 |
| Second Address | Fair Lawn, NJ 07410-3016 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2016 |
| Last Update Date | 25/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.