Individual
ISHAAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, RMB 502, BALTIMORE, MD 21239-2945
(443) 444-4863
(443) 444-4997
Mailing address
5601 LOCH RAVEN BLVD, RMB 502, BALTIMORE, MD 21239-2945
(443) 444-4863
(443) 444-4997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D81650
MD
Other
Enumeration date
07/04/2013
Last updated
05/12/2017
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