Individual
DR. VANDAN DIPAK UPADHYAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 BRENTWOOD RD STE 101, BAY SHORE, NY 11706-8031
(631) 591-7400
(631) 591-7401
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4483
(732) 776-4798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11137500
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA11137500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2018
Last updated
04/06/2026
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