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Individual
NISHI GUPTA
Active
Individual
NISHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205485
LA
207R00000X
Internal Medicine Physician
Primary
P8359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305654
—
LA
Enumeration date
05/07/2009
Last updated
08/23/2019
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