MEDICARE: UPAMA BARUA

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
1	207R00000X	Internal Medicine Physician	A139578	CA

General Provider Information

NPI Number	:	1952613036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UPAMA BARUA

Provider Business Mailing Address
First Line	:	5925 W LAS POSITAS BLVD
Second Line	:	STE 100
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8537
Country	:	US
Telephone Number	:	925-462-1755
Fax Number	:

Provider Business Practice Location Address
First Line	:	5925 W LAS POSITAS BLVD
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8537
Country	:	US
Telephone Number	:	925-462-1755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	12/10/2024

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