Upadhyaya, Mira

Upadhyaya, Mira is an individual health care provider with primary practice located at 22-18 Broadway , Fair Lawn NJ 07410-3016. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Upadhyaya, Mira can be contacted via phone (973) 321-2755.

Contact Information

Primary practice address
22-18 Broadway Fair Lawn NJ 07410-3016
Phone: (973) 321-2755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10880000 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 25MA10880000 New Jersey

Profile Details

NPI number 1730530171
LBN Legal business name Upadhyaya, Mira
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 25th, 2021 - about 3 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.

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