Individual
VIVEK A UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD474355
PA
Other
Enumeration date
05/26/2015
Last updated
11/03/2021
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