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SHIVAM NARENDRA UPADHYAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9401 SW DISCOVERY WAY STE 201, PORT SAINT LUCIE, FL 34987-2381
(772) 288-2400
Mailing address
1050 SE MONTEREY RD STE 400, STUART, FL 34994-4512
(727) 288-2400

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
267141
MA
207X00000X
Orthopaedic Surgery Physician
Primary
ME156160
FL

Other

Enumeration date
05/24/2016
Last updated
07/21/2022
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