Individual
DR. KRISHNA UPADHYAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 N LAKE DR STE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633
Mailing address
2350 N LAKE DR STE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
73203
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/28/2014
Last updated
08/06/2020
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