Provider Demographics
NPI:1770704892
Name:UPPAL, SATNAM SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:SATNAM
Middle Name:SINGH
Last Name:UPPAL
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 1:650 WEST OLIVE AVENUE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2423
Mailing Address - Country:US
Mailing Address - Phone:209-722-8047
Mailing Address - Fax:209-722-1358
Practice Address - Street 1:650 WEST OLIVE AVENUE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2423
Practice Address - Country:US
Practice Address - Phone:209-722-8047
Practice Address - Fax:209-722-1358
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA31940OtherCALIFORNIA LICENSE
CA00A319400Medicaid
CA00A319400Medicaid