Individual
JYOTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40910 FREMONT BLVD, FREMONT, CA 94538
(510) 252-6862
Mailing address
179 EMORY CMN, FREMONT, CA 94539-4796
(212) 518-8676
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
155105
CA
207RI0200X
Infectious Disease Physician
229248
NY
Other
Enumeration date
09/20/2006
Last updated
09/15/2018
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