=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568444131
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROHIT UPPAL MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2005
-----------------------------------------------------
Last Update Date | 03/26/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 S GRANT AVE HOSPITAL MEDICAL SERVICES
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-566-8883
-----------------------------------------------------
Fax | 614-566-8149
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5350 FRANTZ RD
-----------------------------------------------------
City | DUBLIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43016-4259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-544-6355
-----------------------------------------------------
Fax | 614-544-6350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | 35084030
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------