Provider Demographics
NPI:1639497522
Name:V.K. PSYCHIATRY PROFESSIONAL ASSOCIATION
Entity Type:Organization
Organization Name:V.K. PSYCHIATRY PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHILPA
Authorized Official - Middle Name:
Authorized Official - Last Name:UPADHYAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-570-7312
Mailing Address - Street 1:66 NATHAN DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2790
Mailing Address - Country:US
Mailing Address - Phone:732-570-7312
Mailing Address - Fax:732-588-0854
Practice Address - Street 1:200 PERRINE RD STE 206
Practice Address - Street 2:OLD BRIDGE PROFESSIONAL PLAZA
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2836
Practice Address - Country:US
Practice Address - Phone:732-570-7312
Practice Address - Fax:732-588-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA081698002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty