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Individual
DR. JIWAN P GUPTA
Active
Individual
DR. JIWAN P GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A37323
CA
208D00000X
General Practice Physician
Primary
A37323
CA
261QX0100X
Occupational Medicine Clinic/Center
A37323
CA
Other
Enumeration date
08/31/2005
Last updated
05/13/2021
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