Individual
AMITA MANISH UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
508 GIBSON DRIVE, SUITE 270 A, ROSEVILLE, CA 95678-5795
(916) 771-4747
(916) 771-4745
Mailing address
508 GIBSON DRIVE, SUITE 270 A, ROSEVILLE, CA 95678-5795
(916) 771-4747
(916) 771-4745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A100368
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A100368
CA
Other
Enumeration date
01/07/2008
Last updated
03/08/2021
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