| Prakash K. Upadhyaya Dds Ltd. | |
| 2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 | |
| (708) 865-2400 | |
| Not Available | 
| Full Name | Prakash K. Upadhyaya Dds Ltd. | 
|---|---|
| Speciality | Dentist | 
| Location | 2400 W Roosevelt Rd, Broadview, Illinois | 
| Authorized Official Name and Position | Prakash K Upadhyaya (GENERAL DENTIST) | 
| Authorized Official Contact | 7088652400 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prakash K. Upadhyaya Dds Ltd. 2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 Ph: (708) 865-2400 | Prakash K. Upadhyaya Dds Ltd. 2400 W Roosevelt Rd Suite #1 Broadview IL 60155-3880 Ph: (708) 865-2400 | 
| NPI Number | 1003236555 | 
|---|---|
| Provider Enumeration Date | 04/23/2014 | 
| Last Update Date | 04/23/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003236555 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 019015678 (Illinois) | Primary | 
| Ami Dental,n.nathwani.d.d.s.ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-345-0120 | |
| Just Smiles Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2133 S 17th Ave, Broadview, IL 60155 Phone: 708-865-0200 Fax: 708-865-1730 |