Provider Demographics
NPI:1710483151
Name:UPRETI, NILA HARI
Entity Type:Individual
Prefix:
First Name:NILA
Middle Name:HARI
Last Name:UPRETI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4646 TAMARACK BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6566
Mailing Address - Country:US
Mailing Address - Phone:614-396-8965
Mailing Address - Fax:614-396-8966
Practice Address - Street 1:4646 TAMARACK BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6566
Practice Address - Country:US
Practice Address - Phone:614-396-8965
Practice Address - Fax:614-396-8966
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health