Individual
DR. DEEPAK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 S BASCOM AVE STE 4Q261, SAN JOSE, CA 95128-2604
(408) 885-5315
Mailing address
751 S BASCOM AVE STE 4Q261, SAN JOSE, CA 95128-2604
(408) 885-5315
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A114745
CA
Other
Enumeration date
05/20/2009
Last updated
03/06/2020
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