Individual
MADHAVI UPPALAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 S INTERNATIONAL PKWY, SUITE 1001, LAKE MARY, FL 32746-1409
(407) 829-8920
(408) 829-8921
Mailing address
3504 LEGACY HILLS CT, LONGWOOD, FL 32779-3198
(407) 829-8920
(407) 829-8921
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
ME85195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277857200
—
FL
Enumeration date
05/02/2006
Last updated
08/27/2020
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