Individual
MANISHA UPADHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 HILL CHURCH HOUSTON RD, CANONSBURG, PA 15317-1454
(724) 745-8000
Mailing address
6136 170TH ST APT M4, FRESH MEADOWS, NY 11365-1957
(718) 709-0940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
692607
PA
363L00000X
Nurse Practitioner
0038273
OH
363L00000X
Nurse Practitioner
4030395
KY
363L00000X
Nurse Practitioner
Primary
SP025595
PA
Other
Enumeration date
01/20/2022
Last updated
03/12/2025
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