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Mr. Kanchan Prasad Upadhyay, MD
Hematology & Oncology Physician in Leesville, Louisiana
NPI 1265463061

Kanchan Prasad Upadhyay is a Hematology & Oncology Physician based in Leesville, LA and is specialized in Hematology & Oncology. Kanchan Prasad Upadhyay practices in Leesville, LA and has the professional credentials of MD. The NPI Number for Kanchan Prasad Upadhyay is 1265463061 and holds a License No. 13173R (Louisiana).

The current practice location address for Kanchan Prasad Upadhyay is 931 Verone Ter, Leesville, LA and can be reached out via phone at 337-238-3475 and via fax at 337-238-3617.

Location: 931 Verone Ter, Leesville, LA, 71446-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265463061
Provider Name
Kanchan Prasad Upadhyay
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
931 Verone Ter, Leesville, LA, 71446-2901
Phone Number
337-238-3475
Fax Number
337-238-3617
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260053101 01 LA TRICARE
260053101 01 LA MAILHANDLER
1578924 05 LA
260053101 01 LA STATE GROUP
36-00370 01 LA UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
931 Verone Ter
City
Leesville
State
Louisiana
Zip
71446-4255
Phone Number
337-238-3475
Fax Number
337-238-3617
person
Provider Business Mailing Address Details
Address
931 Verone Ter
City
Leesville
State
Louisiana
Zip
71446-4255
Phone Number
337-238-3475
Fax Number
337-238-3617
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
13173R (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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