Individual
DR. MAHENDRA P UPADHYAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, CRH 2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Mailing address
500 W FORT ST, CRH 2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
L1226
TX
2084P0805X
Geriatric Psychiatry Physician
MD00035913
WA
Other
Enumeration date
10/15/2006
Last updated
11/04/2024
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