Individual
DR. SUVIJ UPATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 JOE RAMSEY BLVD E, STE E, GREENVILLE, TX 75401-7770
(903) 454-1722
(903) 454-1750
Mailing address
3900 JOE RAMSEY BLVD E, STE E, GREENVILLE, TX 75401-7770
(903) 454-1722
(903) 454-1750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E8211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BP42
BCBS
TX
05
—
097666402
—
TX
01
—
28715
AETNA
TX
01
—
3268
PARKLAND MEDICIAD
TX
Enumeration date
06/16/2005
Last updated
08/23/2011
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