Individual
DR. NAGENDRA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-1398
(928) 472-3429
Mailing address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-1398
(928) 472-3429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47091
AZ
Other
Enumeration date
07/30/2010
Last updated
12/06/2013
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