Provider Demographics
NPI:1730822800
Name:UPADRASTA, NAGASRI (MD)
Entity type:Individual
Prefix:
First Name:NAGASRI
Middle Name:
Last Name:UPADRASTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CUBBERLY CT
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2821
Mailing Address - Country:US
Mailing Address - Phone:908-392-6476
Mailing Address - Fax:
Practice Address - Street 1:3 CUBBERLY CT
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-2821
Practice Address - Country:US
Practice Address - Phone:908-392-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty