| Doctor Name: | JYOTI UPADHYAY |
| NPI Number: | 1003985235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101242637 |
| Business Practice Address: | 601 Childrens Ln Norfolk, VA - 235071910 |
| Business Phone Number: | 7576687878 |
| Business Fax Number: | 7576687883 |
| Mailing Address: | Po Box 741593, ATLANTA |
| State: | GA |
| Postal Code: | 303741593 |
| Phone Number: | 7576687866 |
| Fax Number: | 7576687883 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2088P0231X |
| License Number: | 0101242637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Urology |
| Taxonomy Specialization: | Pediatric Urology |
| Taxonomy Definition: | Surgeons who can diagnose, treat, and manage children |