Provider Demographics
NPI:1831100130
Name:UPADHYAYULA, SEKHAR C (MD)
Entity Type:Individual
Prefix:DR
First Name:SEKHAR
Middle Name:C
Last Name:UPADHYAYULA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7211 AUSTIN ST
Mailing Address - Street 2:#481
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5354
Mailing Address - Country:US
Mailing Address - Phone:212-255-2333
Mailing Address - Fax:212-255-2455
Practice Address - Street 1:10818 72ND AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5339
Practice Address - Country:US
Practice Address - Phone:718-544-1171
Practice Address - Fax:718-487-4171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY209101207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0385TOtherEMPIRE BCBS
NY175973OtherELDERPLAN
NY3575367OtherAETNA USHC COMMERCIAL
NY202421242OtherHEALTH FIRST
NY1068641OtherAETNA USHC
NY202421242OtherUHC
NY01990601Medicaid
NY902285001OtherAMERICHOICE
NY175973OtherELDERPLAN
7U9051Medicare PIN