Individual
DR. SANJIV UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2040 OGDEN AVE STE 401, AURORA, IL 60504-7208
(630) 978-6895
(630) 753-2905
Mailing address
2040 OGDEN AVE STE 401, AURORA, IL 60504-7208
(630) 978-6895
(630) 375-2905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036107658
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107658
—
IL
Enumeration date
05/12/2006
Last updated
11/05/2024
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