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Contact Information

GAUTHAM K UPADHYA, MD, MPH
1161 VICTORY BLVD
STATEN ISLAND, NY10301-3621
 Phone: 718-818-7425
 Fax: 855-448-7807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Invasive Specialist

246XC2901X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GAUTHAM K UPADHYA · (Male)

NPI Number 1447633805
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 07/02/2015
Last updated 02/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 294581
Hospital affiliation(s)
  • BROOKDALE HOSPITAL MEDICAL CENTER - (Acute Care)
    LINDEN BOULEVARD AT BROOKDALE PLAZA
    BROOKLYN, NY 11212
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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