Basic Information
Provider Information
NPI: 1578853156
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUPRIKAR
FirstName: NIKHIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 3551 ROGER BROOKE DR
Address2: DEPARTMENT OF PULM/CC MEDICINE, ATTN: PULM/CC PROGRAM
City: JBSA FT SAM HOUSTON
State: TX
PostalCode: 782344504
CountryCode: US
TelephoneNumber: 2109165412
FaxNumber:  
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2: DEPARTMENT OF PULM/CC MEDICINE
City: BETHESDA
State: MD
PostalCode: 20889
CountryCode: US
TelephoneNumber: 3012954000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/15/2011
LastUpdateDate: 07/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X27054NEY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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