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Organization

MAHESH C GUPTA MD A PROFESSIONAL CORPORATION

Active
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Organization

MAHESH C GUPTA MD A PROFESSIONAL CORPORATION

Active
Parent organization
MAHESH C GUPTA MD A PROFESSIONAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAHESH C GUPTA MD A PROFESSIONAL CORPORATION
Authorized official
MR. MAHESH C GUPTA M.D. (M.D.)
(951) 737-0640
Entity
Organization

Contact information

Practice address
760 WASHBURN AVE STE 7, CORONA, CA 92882-3303
(951) 737-0640
(951) 737-1655
Mailing address
760 WASHBURN AVE STE 7, CORONA, CA 92882-3303
(951) 737-0640
(951) 737-1655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A363070
—
CA
01
—
1417056953
NPI
CA
Enumeration date
10/03/2007
Last updated
05/13/2010
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