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Contact Information

VANDAN D UPADHYAYA, MD
39 BRENTWOOD RD STE 101
BAY SHORE, NY11706-8031
 Phone: 631-591-7400
 Fax: 631-591-7401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VANDAN D UPADHYAYA · (Male)

NPI Number 1790279396
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2018
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA11137500
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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