Sukhdev Uppal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA723 Issued in NV

Practice address

3201 S Maryland Pkwy
Ste 314
Las Vegas, NV 89109-2441

Phone

(702) 796-8500

Fax

(702) 796-8502

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Specialties Medical Group, Inc.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588698765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1437197043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105793",
            "telephone_number": "702-796-8500",
            "fax_number": "702-796-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "STE 314",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-796-8500",
            "fax_number": "702-796-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "SUKHDEV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503813",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Francis Uperti
• Uplift Behavioral
• Uplifting Behavioral Health LLC
• Uplifting Lives
• Uplus Academy LLC
• Rithika Uppu
• Sandhya Upreti, MD
• Christopher Upshaw
• Courtney Upshaw, ATC, LAT
• Reginald Upshaw

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.