Most Relevant Information
Provider Data
| NPI Number: | 1003177361 |
| Provider Name: | PRASHANT RAJESH UPADHYAYA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2012 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
3501 JOHNSON ST FL 3
HOLLYWOOD
FL
330215421
Practice Location Phone/Fax
| Phone: | 9542659976 |
| Fax: | 9549655396 |
Provider Mailing Location
10201 66TH RD
FOREST HILLS
NY
113752029
Provider Mailing Phone/Fax
| Phone: | 7188304000 |
| Fax: |