Pavan Shankar Upadhyayula is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Pavan Shankar Upadhyayula NPI is 1356920003. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
710 W 168TH ST
NEW YORK, NY
ZIP 10032-726
Phone: (408) 857-0418
The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.