Healthcare Provider Details

I. General information

NPI: 1285169284
Provider Name (Legal Business Name): SURABHI UPPAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date: 11/29/2017
Reactivation Date: 12/28/2017

III. Provider practice location address

6710 OXON HILL ROAD SUITE 250
OXON HILL MD
20745-1124
US

IV. Provider business mailing address

24035 THREE NOTCH RD
HOLLYWOOD MD
20636-4871
US

V. Phone/Fax

Practice location:
  • Phone: 301-292-7270
  • Fax: 301-203-8248
Mailing address:
  • Phone: 301-373-7900
  • Fax: 301-373-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD93505
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: