Healthcare Provider Details

I. General information

NPI: 1669871802
Provider Name (Legal Business Name): UPASANA SEKHAR PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S CONGRESS AVE
AUSTIN TX
78704-5512
US

IV. Provider business mailing address

2400 S CONGRESS AVE
AUSTIN TX
78704-5512
US

V. Phone/Fax

Practice location:
  • Phone: 512-442-1578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number54916
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: