Organization
NEENA K UPPAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEENA K UPPAL MD (OWNER)
(623) 544-6860
Entity
Organization
Contact information
Practice address
14674 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374
(623) 544-6860
(623) 544-6861
Mailing address
14674 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374-2708
(623) 544-6860
(623) 544-6861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423533
—
AZ
Enumeration date
10/11/2007
Last updated
06/12/2018
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