Individual
VED P. GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2137 WELSH RD, SUITE 2E, PHILADELPHIA, PA 19115-4963
(215) 464-8008
(215) 464-7204
Mailing address
2137 WELSH RD, SUITE 2E, PHILADELPHIA, PA 19115-4963
(215) 464-8008
(215) 464-7204
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD033955L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00062349200001
—
PA
01
—
0061721000
INDEPENDENCE BLUE CROSS
PA
01
—
152955
HIGHMARK BLUE SHIELD
PA
01
—
5768
AETNA
PA
Enumeration date
08/29/2006
Last updated
07/08/2007
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