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NPI Code Detail

MEDICARE: LINDA LEE UPP M.D.

MEDICARE: LINDA LEE UPP M.D.
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
1207V00000XObstetrics & Gynecology Physician35-057482OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H070471OTHEROHMEDICARE ID
3UP082961OTHEROHMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336101047
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA LEE UPP M.D.
Provider Business Mailing Address
First Line : 2200 JEFFERSON AVE FL 5
Second Line :
City : TOLEDO
State : OH
Zip : 43604-7102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2213 FRANKLIN AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1402
Country : US
Telephone Number : 419-251-2395
Fax Number : 419-251-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 06/16/2018

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