Organization
MY PSYCHIATRIST RESTON, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADAN UPRETY MD (MEMBER)
(703) 596-4796
Entity
Organization
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(035) 964-7967
Mailing address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(703) 596-4796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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