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General NPI Number Information
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NPI Number | 1336763283
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Entity Type | Individual
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Provider Name | PAVEN UPPAL DO
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Gender | Male
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | IHA PALLIATIVE CARE 5301 E HURON RIVER DRIVE SUITE 2119
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-712-7255
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-747-6766
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | 510129001
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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