Active NPI
Siddhi Upadhyaya
- Student in an Organized Health Care Education/Training Program
- Garden City, MI
National Provider Identifier
1083399570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6245 Inkster Rd
Garden City, MI 48135-4001 - Phone
- (734) 458-3300
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6245 Inkster Rd
Garden City, MI 48135-4001
Mailing address
11067 Garden Ridge CT
Davie, FL 33328-7308
Other practice location 1
185 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 353-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- supadhyaya4196569@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717804800000",
"number": "1083399570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11067 GARDEN RIDGE CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333287308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 INKSTER RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481354001",
"telephone_number": "734-458-3300"
}
],
"practiceLocations": [
{
"address_1": "185 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032757",
"country_code": "US",
"telephone_number": "973-353-1766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPADHYAYA",
"first_name": "SIDDHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2024-06-08",
"certification_date": "2024-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.