Individual
DR. MADHAV PRAKASH UPADHYAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 N GILBERT ST, TINTON FALLS, NJ 07701-4950
(732) 542-7600
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.138533
IL
207R00000X
Internal Medicine Physician
303003
LA
207UN0901X
Nuclear Cardiology Physician
Primary
25MA11208100
NJ
Other
Enumeration date
05/09/2012
Last updated
08/22/2024
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