Organization
EXPERT PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGENDRA P UPADHYAYULA M.D., (OWNER)
(845) 849-3336
Entity
Organization
Contact information
Practice address
50 HOSPITAL HILL RD, 2ND FLOOR, SHARON, CT 06069-2096
(860) 364-4458
Mailing address
15 MIRON DR, POUGHKEEPSIE, NY 12603-5020
(845) 849-3336
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
49099
CT
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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