Individual
DR. DHAM KRISHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3465
(716) 898-4289
Mailing address
260 MEADOWVIEW LN, WILLIAMSVILLE, NY 14221-3557
(716) 816-2221
(716) 885-4852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
153750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89K521
PIN #
NY
Enumeration date
06/22/2006
Last updated
07/08/2007
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