Provider Demographics
NPI:1649213430
Name:DHINGRA, UPMA (MD)
Entity type:Individual
Prefix:
First Name:UPMA
Middle Name:
Last Name:DHINGRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 NORTHLINE CIR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1482
Mailing Address - Country:US
Mailing Address - Phone:216-692-8803
Mailing Address - Fax:
Practice Address - Street 1:99 NORTHLINE CIR
Practice Address - Street 2:SUITE 211
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1482
Practice Address - Country:US
Practice Address - Phone:216-692-8803
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0563492084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHL0725906Medicaid
OH0609705Medicare ID - Type UnspecifiedMEDICARE NUMBER
OHL0725906Medicaid