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NPI Code Detail

MEDICARE: DR. KIRAN MADHAV UBHAYAKAR M.D.

MEDICARE:  DR. KIRAN MADHAV UBHAYAKAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianA146047CA
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA146047CA

General Provider Information

NPI Number : 1881838605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRAN MADHAV UBHAYAKAR M.D.
Provider Business Mailing Address
First Line : 1100 TRANCAS ST STE 250
Second Line :
City : NAPA
State : CA
Zip : 94558-2909
Country : US
Telephone Number : 707-253-1135
Fax Number : 707-253-1251
Provider Business Practice Location Address
First Line : 913 WASHINGTON ST
Second Line :
City : CALISTOGA
State : CA
Zip : 94515-1433
Country : US
Telephone Number : 707-942-6233
Fax Number : 707-942-6382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2009
Last Update Date : 07/20/2022

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Directions to “ DR. KIRAN MADHAV UBHAYAKAR M.D.” Practice Location

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