Individual
ASHISH UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY ST, SHAPIRO 7, SUITE A, BOSTON, MA 02118-2526
(617) 414-8601
(617) 414-8664
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230690
MA
207RN0300X
Nephrology Physician
Primary
230690
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081669A
—
MA
Enumeration date
01/30/2007
Last updated
08/20/2014
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