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Individual

DR. VENKATA S GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3026
(312) 404-8849
Mailing address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3026
(312) 404-8849

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-172098
IL
208000000X
Pediatrics Physician
Primary
35.150240
OH

Other

Enumeration date
07/03/2017
Last updated
10/03/2024
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