Individual
DR. RAKESH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Mailing address
2595 VIXEN ST, FAYETTEVILLE, NC 28303-5002
(910) 977-2995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937948
—
NC
Enumeration date
06/20/2005
Last updated
10/03/2024
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