# MANISH UPADHYAY, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104186691
- **Authorized official:** DR. MANISH UPADHYAY MD (PRESIDENT)
- **Authorized official phone:** (916) 786-6727

## Contact information

- **Practice address:** 508 GIBSON DR, SUITE NO 270, ROSEVILLE, CA 95678-5794
- **Practice address phone:** (916) 786-6727
- **Practice address fax:** (916) 786-6748
- **Mailing address:** 508 GIBSON DR, SUITE NO 270, ROSEVILLE, CA 95678-5794
- **Mailing address phone:** (916) 786-6727
- **Mailing address fax:** (916) 786-6748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | C52329 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2012
- **Last updated:** 11/06/2014