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Individual
PAWAN KUMAR GUPTA
Active
Individual
PAWAN KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A953988
CA
207U00000X
Nuclear Medicine Physician
A953988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70596F
—
CA
Enumeration date
01/25/2007
Last updated
04/24/2012
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