Individual
DR. ASHWANI KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
635 4TH ST N, STE 200, ST PETERSBURG, FL 33701-2319
(727) 201-4968
(727) 201-4971
Mailing address
14134 NEPHRON LN, HUDSON, FL 34667-6504
(727) 863-5418
(727) 869-8626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085675
MI
207RN0300X
Nephrology Physician
Primary
ME107040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023651-00
—
FL
Enumeration date
04/05/2007
Last updated
12/08/2016
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