Individual
TREVOR CHRISTOPHER UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
(919) 231-6334
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
136241
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2017-00587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285895292
—
NC
Enumeration date
06/23/2008
Last updated
04/14/2021
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