Individual
DR. VIKAS ANAND GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91153
SC
207Q00000X
Family Medicine Physician
RL17346
ND
Other
Enumeration date
08/05/2021
Last updated
06/25/2024
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