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Individual
AVNEESH GUPTA
Active
Individual
AVNEESH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
4301083130
MI
207ZP0101X
Anatomic Pathology Physician
Primary
4301083130
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
41208
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301083130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZWCMBF
MEDICARE GROUP NUMBER
AZ
Enumeration date
05/17/2007
Last updated
08/21/2012
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