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Individual

DR. PRASHANT GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16045 1ST AVE S # F1, BURIEN, WA 98148
(206) 965-4180
(206) 965-4199
Mailing address
16045 1ST AVE S # F1, BURIEN, WA 98148-1401
(206) 965-4180
(206) 965-4199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036138919
IL
207Q00000X
Family Medicine Physician
Primary
60660929
WA

Other

Enumeration date
03/19/2013
Last updated
07/10/2019
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