Provider Demographics
NPI:1336682558
Name:PRIYANKA UPPAL MD PA
Entity Type:Organization
Organization Name:PRIYANKA UPPAL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-421-1777
Mailing Address - Street 1:13080 DALLAS PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4242
Mailing Address - Country:US
Mailing Address - Phone:469-421-1777
Mailing Address - Fax:469-301-1082
Practice Address - Street 1:13080 DALLAS PKWY STE 320
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4242
Practice Address - Country:US
Practice Address - Phone:469-421-1777
Practice Address - Fax:469-301-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-19
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty