Provider Demographics
NPI:1841268612
Name:PARVEEN UPPAL LLC
Entity type:Organization
Organization Name:PARVEEN UPPAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-888-7901
Mailing Address - Street 1:80 HAZLET AVE
Mailing Address - Street 2:STE# 3
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1623
Mailing Address - Country:US
Mailing Address - Phone:732-888-7901
Mailing Address - Fax:732-888-7905
Practice Address - Street 1:80 HAZLET AVE
Practice Address - Street 2:STE# 3
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1623
Practice Address - Country:US
Practice Address - Phone:732-888-7901
Practice Address - Fax:732-888-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty