Upadhyaya, Varsha

Upadhyaya, Varsha is an individual health care provider with primary practice located at 4400 W 95Th St Ste 202 , Oak Lawn IL 60453-2657. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Upadhyaya, Varsha can be contacted via phone (708) 636-6626.

Contact Information

Primary practice address
4400 W 95Th St Ste 202 Oak Lawn IL 60453-2657
Phone: (708) 636-6626
Fax: (708) 346-2035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36-057280 Illinois

Profile Details

NPI number 1598845554
LBN Legal business name Upadhyaya, Varsha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 1st, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598845554 NPPES
Illinois MEDICAID 0360572580

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