Upadhyay, Ajay Kumar
Upadhyay, Ajay Kumar is an individual health care provider with primary practice located at 365 Hawthorne Ave Ste 101, Oakland CA 94609-3115. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Upadhyay, Ajay Kumar can be contacted via phone (510) 465-5523.Contact Information
Primary practice address
365 Hawthorne Ave Ste 101
Oakland CA 94609-3115
Phone: (510) 465-5523
Fax: (510) 832-6061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A53488 | California |
Profile Details
| NPI number | 1104888155 |
|---|---|
| LBN Legal business name | Upadhyay, Ajay Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 30th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104888155 | NPPES |
| California | MEDICAID | GR0098240 |
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