Individual
DR. MEDHAVI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BLACKSTONE STREET, 3RD FLOOR, PROVIDENCE, RI 02903
(401) 453-7520
(401) 453-7529
Mailing address
1 BLACKSTONE STREET, 3RD FLOOR, PROVIDENCE, RI 02903
(401) 453-7520
(401) 453-7529
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD17519
RI
Other
Enumeration date
07/10/2015
Last updated
12/17/2021
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