Provider Demographics
NPI:1861434672
Name:UPADHYA, SAVITHA R (MD)
Entity type:Individual
Prefix:
First Name:SAVITHA
Middle Name:R
Last Name:UPADHYA
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 1:401 KEISLER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7084
Mailing Address - Country:US
Mailing Address - Phone:919-439-6120
Mailing Address - Fax:919-246-4420
Practice Address - Street 1:401 KEISLER DR STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7084
Practice Address - Country:US
Practice Address - Phone:919-439-6120
Practice Address - Fax:919-246-4420
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-009782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50059376OtherCAPITAL BLUE CROSS
PA1861217OtherHIGHMARK BLUE SHIELD
PA50059376OtherCAPITAL BLUE CROSS
PA101527JZEMedicare ID - Type Unspecified
PA575415OtherVALUE OPTIONS
PAI53665Medicare UPIN