Organization
VRAJ, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARESH K UPADHYAY MD (OWNER)
(219) 852-0197
Entity
Organization
Contact information
Practice address
2315 E 93RD ST STE 237, CHICAGO, IL 60617-3919
(847) 768-8925
Mailing address
10547 MISTY HILL RD, ORLAND PARK, IL 60462-7439
(219) 852-0197
(219) 937-2195
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095707
ANTHEM
IN
01
—
01606600
BLUE CROSS/SHIELD
IL
01
—
K36165
MEDICARE INDIVIDUAL PIN
IL
Enumeration date
07/28/2006
Last updated
10/16/2024
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