# ASHA GUPTA, MD

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

## Provider details

- **NPI number:** 1699961185
- **Authorized official:** GWEN SPAULDING MEDICAL ASSISTANT (OFFFICE MANAGER)
- **Authorized official phone:** (607) 798-7811

## Contact information

- **Practice address:** 260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2745
- **Practice address phone:** (607) 798-7811
- **Practice address fax:** (607) 770-7035
- **Mailing address:** 260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2745
- **Mailing address phone:** (607) 798-7811
- **Mailing address fax:** (607) 770-7035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 124306 | NY | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 03/19/2008