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1720394992

NPI Code Detail

MEDICARE: DR. BISHWAS UPADHYAY MD

MEDICARE: DR. BISHWAS UPADHYAY MD

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	207R00000X	Internal Medicine Physician	15236	NV
2	207R00000X	Internal Medicine Physician	125057321	IL
3	207R00000X	Internal Medicine Physician	S2525	TX

General Provider Information

NPI Number	:	1720394992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BISHWAS UPADHYAY MD

Provider Business Mailing Address
First Line	:	7429 LAS COLINAS BLVD STE 101
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7573
Country	:	US
Telephone Number	:	469-442-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	7429 LAS COLINAS BLVD STE 101
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7573
Country	:	US
Telephone Number	:	469-442-0202
Fax Number	:

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

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	06/02/2020

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Directions to “ DR. BISHWAS UPADHYAY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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