Provider Demographics
NPI:1700017985
Name:UPADHYAY, RITWAJ SINCHU (MD)
Entity Type:Individual
Prefix:
First Name:RITWAJ
Middle Name:SINCHU
Last Name:UPADHYAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4435 MADISON AVE
Mailing Address - Street 2:APT 105
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3406
Mailing Address - Country:US
Mailing Address - Phone:774-275-1117
Mailing Address - Fax:
Practice Address - Street 1:6650 TROOST AVE
Practice Address - Street 2:APT 305
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131
Practice Address - Country:US
Practice Address - Phone:816-276-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009001045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine