Individual
VIDYADHAR V UPASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 CHILDREN'S WAY, SAN DIEGO, CA 92123-4223
(858) 966-6789
(858) 966-8519
Mailing address
3020 CHILDRENS WAY, MC 5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A97603
CA
Other
Enumeration date
08/20/2008
Last updated
11/07/2014
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