Individual
DR. RAJ K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31 N LOCUST ST, WEST CARROLLTON, OH 45449-1407
(937) 898-7750
Mailing address
117 SOUTH MAIN STREET, REIBOLD BUILDING, DAYTON, OH 45422
(937) 225-4954
(937) 496-3071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35100034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317802
—
OH
Enumeration date
10/26/2006
Last updated
07/08/2007
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