| Richa Uppal Md Llc | |
|
1849 Nw Kearney St Ste 200 Portland OR 97209-1453 | |
| (971) 229-4545 | |
| (503) 966-2427 |
| Full Name | Richa Uppal Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1849 Nw Kearney St Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Richa Uppal (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9712294545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richa Uppal Md Llc 1849 Nw Kearney St Ste 200 Portland OR 97209-1453 Ph: (971) 229-4545 | Richa Uppal Md Llc 1849 Nw Kearney St Ste 200 Portland OR 97209-1453 Ph: (971) 229-4545 |
| NPI Number | 1548084312 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 03/13/2025 |
| Medicare PECOS PAC ID | 9537694278 |
|---|---|
| Medicare Enrollment ID | O20250131000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548084312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Richa Uppal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003071846 PECOS PAC ID: 2163588195 Enrollment ID: I20101013000075 |
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