Individual
AMIT UPADHIAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 W SAMPLE RD, #201, POMPANO BEACH, FL 33064-3547
(954) 782-3170
(954) 782-3171
Mailing address
1 W SAMPLE RD, #201, POMPANO BEACH, FL 33064-3547
(954) 782-3170
(954) 782-3171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270704700
—
FL
Enumeration date
11/08/2005
Last updated
12/29/2014
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