Provider Demographics
NPI:1881850345
Name:ARON, UPASNA (MD)
Entity Type:Individual
Prefix:
First Name:UPASNA
Middle Name:
Last Name:ARON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UPASNA
Other - Middle Name:
Other - Last Name:MANCHANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1245 CEDAR RD STE G
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7141
Mailing Address - Country:US
Mailing Address - Phone:901-844-1434
Mailing Address - Fax:
Practice Address - Street 1:1144 N ROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3473
Practice Address - Country:US
Practice Address - Phone:901-844-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011020147207R00000X
NC2021-00086207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00990415OtherRR MCR
MO1881850345Medicaid
AR187789001Medicaid
MO431560263OtherTRICARE
MO132680235Medicare PIN