Individual
KRISHNA P UPPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 W WARREN AVE STE 100, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011
Mailing address
455 W WARREN AVE STE 100, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME82506
FL
2084P0800X
Psychiatry Physician
Primary
ME82506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023250100
—
FL
Enumeration date
02/22/2007
Last updated
02/20/2023
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