| Manish Upadhyay, Md, Inc | |
|
508 Gibson Dr Suite No 270 Roseville CA 95678-5794 | |
| (916) 786-6727 | |
| (916) 786-6748 |
| Full Name | Manish Upadhyay, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 Gibson Dr, Roseville, California |
| Authorized Official Name and Position | Manish Upadhyay (PRESIDENT) |
| Authorized Official Contact | 9167866727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manish Upadhyay, Md, Inc 508 Gibson Dr Suite No 270 Roseville CA 95678-5794 Ph: (916) 786-6727 | Manish Upadhyay, Md, Inc 508 Gibson Dr Suite No 270 Roseville CA 95678-5794 Ph: (916) 786-6727 |
| NPI Number | 1104186691 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 2668628033 |
|---|---|
| Medicare Enrollment ID | O20120820000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104186691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | C52329 (California) | Primary |
| Provider Name | Manish R Upadhyay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962432039 PECOS PAC ID: 7315014669 Enrollment ID: I20080929000263 |
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