Individual
DR. SHIPRA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
3411 WAYNE AVE FL 7, BRONX, NY 10467-2552
(718) 741-2470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
325810
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
325810
NY
Other
Enumeration date
08/03/2009
Last updated
11/15/2024
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