Provider Demographics
NPI:1689898165
Name:UPPAL, BALJEET S (MD)
Entity Type:Individual
Prefix:
First Name:BALJEET
Middle Name:S
Last Name:UPPAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9744 W BELL RD STE A
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1343
Mailing Address - Country:US
Mailing Address - Phone:888-553-8346
Mailing Address - Fax:623-404-4530
Practice Address - Street 1:15405 N 99TH AVE STE B
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:888-553-8346
Practice Address - Fax:623-404-4530
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2021-10-20
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Provider Licenses
StateLicense IDTaxonomies
AZ496162086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ168955Medicare PIN