Individual
NAGENDRA PRASAD UPADHYAYULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 MAIN ST, FISHKILL, NY 12524-1786
(845) 471-0013
Mailing address
1003 MAIN ST, FISHKILL, NY 12524-1786
(845) 471-0013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
225874
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
225874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02319597
—
NY
Enumeration date
07/08/2005
Last updated
03/20/2017
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