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Organization
MOHINDER GUPTA MD
Active
Organization
MOHINDER GUPTA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHINDER GUPTA (SOLE PROPRIETOR)
(718) 464-5225
Entity
Organization
Contact information
Practice address
9033 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428-1352
(718) 464-5225
Mailing address
9033 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428-1352
(718) 464-5225
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
108186
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00190978
—
NY
Enumeration date
03/21/2007
Last updated
08/22/2020
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