Physician Compare National (NPI:1154652865)
HEALTHCARE PROVIDER: JOSEPH UPPAL MSW, LMSW, CTP-C
Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.
Individual Professional Information |
|
NPI
|
1154652865
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
4183057003
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20191231001946
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
UPPAL
|
|
Individual professional last name
|
|
Provider First Name
|
JOSEPH
|
|
Individual professional first name
|
|
Provider Gender
|
M
|
|
The provider's gender if the provider is a person.
|
Medical School Information |
|
Medical School Name
|
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
|
|
Individual professional's medical school
|
|
Graduation Year
|
2010
|
|
Individual professional's medical school graduation year
|
|
Primary Specialty
|
CLINICAL SOCIAL WORKER
|
|
Primary medical specialty reported by the individual professional in the selected enrollment
|
Practice Information |
|
Line 1 Street Address
|
5380 HOLIDAY TER
|
|
Group Practice or individual's line 1 address
|
|
Line 2 Street Address
|
SUITE 37
|
|
Group Practice or individual's line 2 address
|
|
City
|
KALAMAZOO
|
|
Group Practice or individual's city
|
|
State
|
MI
|
|
Group Practice or individual's state
|
|
Zip Code
|
490092176
|
|
Group Practice or individual's zip code (9 digits when available)
|
Hospital(s) Affiliation Information |
|
Professional Accepts Medicare Assignment
|
Y
|
|
|