Individual
DR. SHIVANCK UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
(973) 754-3376
Mailing address
703 MAIN ST, MEDICINE DEPARTMENT, PATERSON, NJ 07503-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10446900
NJ
207R00000X
Internal Medicine Physician
84972
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10446900
NJ
207RP1001X
Pulmonary Disease Physician
0101284367
VA
207RP1001X
Pulmonary Disease Physician
Primary
25MA10446900
NJ
207RP1001X
Pulmonary Disease Physician
61005
KY
207RP1001X
Pulmonary Disease Physician
84972
WI
Other
Enumeration date
02/02/2012
Last updated
04/27/2026
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