Individual
DR. RAUL NIRMAL UPPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, FND-2, BOSTON, MA 02114-2696
(617) 726-8354
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8386
(617) 726-4891
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
216861
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007860
—
MA
01
—
216861
TUFTS HEALTH PLAN
MA
01
—
J26098
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
08/09/2012
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