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Individual
MOHAN L GUPTA
Active
Individual
MOHAN L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0039177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067560100
—
FL
01
—
94170
BLUE CROSS
FL
Enumeration date
04/22/2006
Last updated
12/07/2020
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