Individual
DR. PRASHANT RAJESH UPADHYAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON ST FL 3, HOLLYWOOD, FL 33021-5421
(954) 265-9976
(954) 965-5396
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
146241
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2012
Last updated
12/07/2022
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