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Individual

CHARUVUTHI UPATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2545
(413) 534-2662
Mailing address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2545
(413) 534-2662

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
37576
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2073463
MA
Enumeration date
05/26/2006
Last updated
08/24/2011
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