# GUPTA PSYCHIATRIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629479639
- **Authorized official:** DR. BABU V GUPTA MD (PRESIDENT)
- **Authorized official phone:** (513) 421-4099

## Contact information

- **Practice address:** 3260 WESTBOURNE DR, CINCINNATI, OH 45248-5107
- **Practice address phone:** (513) 421-4099
- **Practice address fax:** (513) 347-2116
- **Mailing address:** PO BOX 706346, CINCINNATI, OH 45270-6346
- **Mailing address phone:** (513) 421-4099
- **Mailing address fax:** (513) 347-2116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 29831 | KY | — |
| 2084P0805X | Geriatric Psychiatry Physician | 35066574 | OH | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 10/13/2014