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NPI Code Detail

MEDICARE: DR. MINAL AMIT UPADHYAY DDS

MEDICARE:  DR. MINAL AMIT UPADHYAY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry45047CA

General Provider Information

NPI Number : 1023107349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINAL AMIT UPADHYAY DDS
Provider Business Mailing Address
First Line : 1048 BUBB RD
Second Line :
City : CUPERTINO
State : CA
Zip : 95014-4939
Country : US
Telephone Number : 408-296-9900
Fax Number : 408-296-9901
Provider Business Practice Location Address
First Line : 2910 STEVENS CREEK BLVD
Second Line : #208
City : SAN JOSE
State : CA
Zip : 95128-2015
Country : US
Telephone Number : 408-296-9900
Fax Number : 408-296-9901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MINAL AMIT UPADHYAY DDS” Practice Location

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