Individual
SUMATI VIRENDRA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 CIRCLE OF HOPE, CLINIC 2B, SALT LAKE CITY, UT 84112-5550
(801) 585-0100
(801) 585-0721
Mailing address
127 SO. 500 EAST #600, SALT LAKE CITY, UT 84102
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5085712-1205
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5085712-1205
UT
207RX0202X
Medical Oncology Physician
5085712-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/02/2021
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