Individual
MONALI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
29345
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
45059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345939801 (MDACC)
—
TX
05
—
578601
—
AZ
Enumeration date
10/20/2005
Last updated
08/14/2015
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