# NEENA K UPPAL MD PC

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

## Provider details

- **NPI number:** 1790973006
- **Authorized official:** NEENA K UPPAL MD (OWNER)
- **Authorized official phone:** (623) 544-6860

## Contact information

- **Practice address:** 14674 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374
- **Practice address phone:** (623) 544-6860
- **Practice address fax:** (623) 544-6861
- **Mailing address:** 14674 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374-2708
- **Mailing address phone:** (623) 544-6860
- **Mailing address fax:** (623) 544-6861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25660 | AZ | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 06/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 423533 | — | AZ |