Healthcare Provider Details

I. General information

NPI: 1073747721
Provider Name (Legal Business Name): LTC HOSPITALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E COMMERCIAL BLVD FL 33308
FORT LAUDERDALE FL
33308-3744
US

IV. Provider business mailing address

PO BOX 636380
CINCINNATI OH
45263-6380
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-2300
  • Fax:
Mailing address:
  • Phone: 800-424-3672
  • Fax: 954-377-3042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROHIT UPPAL
Title or Position: PRESIDENT
Credential: MD
Phone: 800-424-3672