Individual
PRASHANT K UPADHYAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SETON PKWY STE 103, ROUND ROCK, TX 78665-8003
(512) 324-4815
Mailing address
301 SETON PKWY STE 103, ROUND ROCK, TX 78665-8003
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
269241
NY
208600000X
Surgery Physician
269241
NY
208600000X
Surgery Physician
5159
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
269241
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P4722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03586041
—
NY
Enumeration date
06/27/2007
Last updated
08/25/2022
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