Individual
SHUBHRA UPADHYAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6331
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2019-0575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720584782
UNIVERSITY OF NEW MEXICO
NM
Enumeration date
03/30/2018
Last updated
07/10/2019
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