IndividualActive
Mahendra Upadhyaya, M.D.
NPI 1487744793 · Geriatric Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1487744793
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00035913 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 W Fort St
Crh 2nd Floor
Boise, ID 83702-4501
Phone: (208) 422-1018
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4501
Additional practice locations (1)
- 2326 Bay Lakes CtArlington, TX 76016-1176Phone: (817) 457-8830Fax: (817) 457-8830
Registry dates
- Enumerated
- 2006-10-15
- Last updated
- 2024-11-04
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.