MEDICARE: SAPANA UPADHYAY

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
1	104100000X	Social Worker	33012109A	IN

General Provider Information

NPI Number	:	1447930490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAPANA UPADHYAY

Provider Business Mailing Address
First Line	:	4010 W 86TH ST STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1779
Country	:	US
Telephone Number	:	317-647-0102
Fax Number	:	317-868-7447

Provider Business Practice Location Address
First Line	:	4010 W 86TH ST STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1779
Country	:	US
Telephone Number	:	317-647-0102
Fax Number	:	317-868-7447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	06/30/2025

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Directions to “ SAPANA UPADHYAY ” Practice Location

Language	Start Address	Practice Location

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