Provider Demographics
NPI:1598034852
Name:HITEN UPADHYAY MDPL
Entity Type:Organization
Organization Name:HITEN UPADHYAY MDPL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HITEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:UPADHYAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-528-7827
Mailing Address - Street 1:PO BOX 7941
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33734-7941
Mailing Address - Country:US
Mailing Address - Phone:727-528-7827
Mailing Address - Fax:727-528-7337
Practice Address - Street 1:6540 4TH ST N
Practice Address - Street 2:SUITE C
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-6822
Practice Address - Country:US
Practice Address - Phone:727-528-7827
Practice Address - Fax:727-528-7667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80430207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty