Healthcare Provider Details

I. General information

NPI: 1265209829
Provider Name (Legal Business Name): ONEUP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 1ST ST N STE 220
ALABASTER AL
35007-8623
US

IV. Provider business mailing address

4565 MAGNOLIA DR
BIRMINGHAM AL
35242-5358
US

V. Phone/Fax

Practice location:
  • Phone: 205-620-8606
  • Fax:
Mailing address:
  • Phone: 205-531-6179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREY SAMAL
Title or Position: OWNER
Credential:
Phone: 205-531-6179