Provider Demographics
NPI:1316101793
Name:UPPAL, ANJANA VAGARALI (MD)
Entity type:Individual
Prefix:DR
First Name:ANJANA
Middle Name:VAGARALI
Last Name:UPPAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANJANA
Other - Middle Name:SURESH
Other - Last Name:VAGARALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:BUILDING 6; DEPT OF PEDIATRIC EMERGENCY MEDICINE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:714-313-4295
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:BUILDING 6; DEPT OF PEDIATRIC EMERGENCY MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:714-313-4295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249171-12080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine