Individual
ADITI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
8080 N STADIUM DR, SUITE 250, HOUSTON, TX 77054-1829
(713) 303-5316
Mailing address
6701 FANNIN ST, SUITE CCC1540, HOUSTON, TX 77030-2608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301069601
—
TX
01
—
301069602
CSHCN
—
Enumeration date
05/27/2011
Last updated
12/17/2012
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