Individual
DR. MONIKA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10008120
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073622072
—
DE
01
—
205465821
BLUE CROSS BLUE SHIELD OF DELAWARE
DE
Enumeration date
08/30/2006
Last updated
04/12/2013
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