# RAJIV UPPAL MD

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

## Provider details

- **NPI number:** 1538605951
- **Authorized official:** MARISSA KETCHAM (BILLING MANAGER)
- **Authorized official phone:** (732) 389-8400

## Contact information

- **Practice address:** 122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
- **Practice address phone:** (212) 227-3670
- **Mailing address:** 122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
- **Mailing address phone:** (212) 227-3670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 174477-1 | NY | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/09/2017