# AMITA UPADHYAY MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roseville Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396309639
- **Authorized official:** DR. AMITA UPADHYAY MD (PRESIDENT)
- **Authorized official phone:** (916) 786-6727

## Contact information

- **Practice address:** 508 GIBSON DR STE 270, ROSEVILLE, CA 95678-5795
- **Practice address phone:** (916) 786-6727
- **Practice address fax:** (916) 786-6748
- **Mailing address:** 508 GIBSON DR STE 270, ROSEVILLE, CA 95678-5795
- **Mailing address phone:** (916) 786-6727
- **Mailing address fax:** (916) 786-6748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2019
- **Last updated:** 04/23/2019