Healthcare Provider Details

I. General information

NPI: 1437459955
Provider Name (Legal Business Name): UKP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2010
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 VIVANTE BLVD UNIT 9526
PUNTA GORDA FL
33950-2029
US

IV. Provider business mailing address

95 VIVANTE BLVD UNIT 9526
PUNTA GORDA FL
33950-2029
US

V. Phone/Fax

Practice location:
  • Phone: 347-804-2249
  • Fax:
Mailing address:
  • Phone: 347-804-2249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME104259
License Number StateFL

VIII. Authorized Official

Name: DR. ASAD NASIR
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 347-804-2249