Individual
VARSHA UPADHYAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 W 95TH ST STE 202, OAK LAWN, IL 60453-2657
(708) 636-6626
(708) 346-2035
Mailing address
4400 W 95TH ST STE 202, OAK LAWN, IL 60453-2657
(708) 636-6626
(708) 346-2035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36-057280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360572580
—
IL
Enumeration date
10/16/2006
Last updated
12/01/2010
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