Provider Demographics
NPI:1356374417
Name:ADIGA, GIRIDHAR UPPOOR (MD)
Entity type:Individual
Prefix:DR
First Name:GIRIDHAR
Middle Name:UPPOOR
Last Name:ADIGA
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 1:460 N READING RD
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-9606
Mailing Address - Country:US
Mailing Address - Phone:717-738-4070
Mailing Address - Fax:717-738-3558
Practice Address - Street 1:460 N READING RD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-9606
Practice Address - Country:US
Practice Address - Phone:717-738-4070
Practice Address - Fax:717-738-3558
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439513207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology