Individual
RAHUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS,MS,DNB
Contact information
Practice address
24 4TH ST STE 4, MALONE, NY 12953-1350
(518) 481-2632
Mailing address
24 4TH ST STE 4, MALONE, NY 12953-1350
(518) 481-2632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
003826
NY
Other
Enumeration date
11/25/2009
Last updated
10/18/2011
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