Individual
KIRAN K UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100296, GAINESVILLE, FL 32610-0296
(352) 265-7999
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
263848
NY
2080P0210X
Pediatric Nephrology Physician
Primary
ME116049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008874100
—
FL
05
—
201029000
—
IN
05
—
7100170360
—
KY
Enumeration date
05/12/2008
Last updated
09/26/2013
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