Dr Gautham Kadiyali Upadhya, MD, MPH is a medicare enrolled "Specialist/technologist Cardiovascular - Cardiovascular Invasive Specialist" physician in Staten Island, New York. His current practice location is
1161 Victory Blvd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 818-7425.
Dr Gautham Kadiyali Upadhya is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447633805.
Physician's Profile
| Full Name | Dr Gautham Kadiyali Upadhya |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1161 Victory Blvd, Staten Island, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gautham Kadiyali Upadhya attended and graduated from in
NPI Data:
- NPI Number: 1447633805
- Provider Enumeration Date: 07/02/2015
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Gautham Kadiyali Upadhya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447633805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 294581 (New York) | Secondary |
| 246XC2901X | Specialist/technologist Cardiovascular - Cardiovascular Invasive Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gautham Kadiyali Upadhya is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gautham Kadiyali Upadhya, MD, MPH
1161 Victory Blvd,
Staten Island, NY 10301-3621
Ph: (718) 818-7425 | Dr Gautham Kadiyali Upadhya, MD, MPH
1161 Victory Blvd,
Staten Island, NY 10301-3621
Ph: (718) 818-7425 |
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