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Individual
DR. RAKESH GUPTA
Active
Individual
DR. RAKESH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
148223
NY
207R00000X
Internal Medicine Physician
Primary
148223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704036
—
NY
01
—
P00049307
RAILROAD MEDICARE
NY
01
—
P00105544
RAILROAD MEDICARE
NY
01
—
WER101
MEDICARE GROUP ID
NY
Enumeration date
10/07/2005
Last updated
01/21/2008
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