Individual
DR. SHIVALI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
Mailing address
1604 BLOSSOM HILL RD STE 10, SAN JOSE, CA 95124-6350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20A24271
CA
207X00000X
Orthopaedic Surgery Physician
Primary
OP61408334
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
20A24271
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
OP61408334
WA
Other
Enumeration date
05/21/2018
Last updated
05/26/2026
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