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Individual
MR. RAJEEV GUPTA
Active
Individual
MR. RAJEEV 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
A49489
CA
208000000X
Pediatrics Physician
A49489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A494890
—
CA
01
—
110152471
RAILROAD PIN
CA
05
—
GR0066310
—
CA
01
—
GR0066312
MEDI CAL GROUP NUMBER
CA
01
—
WA49489F
MEDICARE PTAN
CA
01
—
ZZZ47481Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/03/2006
Last updated
06/18/2008
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