Dr Gautham Kadiyali Upadhya, MD, MPH | |
450 Clarkson Ave, Brooklyn, NY 11203-2012 | |
(718) 270-1000 | |
Not Available |
Full Name | Dr Gautham Kadiyali Upadhya |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 1 Years |
Location | 450 Clarkson Ave, Brooklyn, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447633805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 294581 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Richmond University Medical Center | Staten island, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantagecare Physicians Pc | 2365735008 | 318 |
Amboy Medical Practice, P.c. | 2860538170 | 131 |
Entity Name | Brookdale Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Entity Name | Brookdale Family Care Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962459644 PECOS PAC ID: 7315833159 Enrollment ID: O20040226001107 |
Entity Name | Urban Strategies Brookdale Family Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215984422 PECOS PAC ID: 7113818196 Enrollment ID: O20040320000658 |
Entity Name | Amboy Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
Entity Name | Advantagecare Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Mailing Address | Practice Location Address |
---|---|
Dr Gautham Kadiyali Upadhya, MD, MPH 9 Overhill Rd, Scarsdale, NY 10583-5307 Ph: (914) 649-3191 | Dr Gautham Kadiyali Upadhya, MD, MPH 450 Clarkson Ave, Brooklyn, NY 11203-2012 Ph: (718) 270-1000 |