Rekha Udupa M D Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A068000 Issued in CA

Legal business name

REKHA UDUPA M D INC

Practice address

1299 Water Lily Way Ste 90
San Jose, CA 95129-2868

Phone

(408) 252-1090

Fax

(408) 252-1093

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Rekha S Udupa, MD

Title

President

Phone

(408) 252-1090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1992870026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 WATER LILY WAY STE 90",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292868",
            "telephone_number": "408-252-1090",
            "fax_number": "408-252-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 WATER LILY WAY STE 90",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292868",
            "telephone_number": "408-252-1090",
            "fax_number": "408-252-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA UDUPA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "UDUPA",
        "authorized_official_first_name": "REKHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-252-1090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A068000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.