Provider Demographics
NPI:1316951312
Name:UPPIN, NINA (MD)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:
Last Name:UPPIN
Suffix:
Gender:F
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:PO BOX 5448
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-5448
Mailing Address - Country:US
Mailing Address - Phone:336-625-2333
Mailing Address - Fax:336-629-4345
Practice Address - Street 1:237-A N. FAYETTEVILLE STREET
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5573
Practice Address - Country:US
Practice Address - Phone:336-625-3248
Practice Address - Fax:336-625-6629
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC009901349207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0793181OtherCIGNA
NC89127REMedicaid
NC127REOtherBLUE CROSS BLUE SHIELD
NCD2629OtherMEDCOST
NC0408570OtherUNITED HEALTHCARE
NC710950527OtherTAX ID
NC127REOtherBLUE CROSS BLUE SHIELD
NCNC4441AMedicare PIN
NC710950527OtherTAX ID