Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 289482 | NY |
NPI | 1023366564 |
---|---|
Provider Name | Nupur Uppal |
First Address | Great Neck, NY 11021-5501 |
Second Address | Great Neck, NY 11021-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2012 |
Last Update Date | 07/06/2017 |