Individual
DEBRA L. GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5250 W 94TH TERRACE, PAIRIE VILLAGE, KS 66207-2502
(913) 780-0030
(913) 782-2924
Mailing address
5250 W 94TH TERRACE, PRAIRIE VILLAGE, KS 66207-2502
(913) 451-0000
(913) 491-0547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0424531
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152300B
—
KS
Enumeration date
05/15/2006
Last updated
03/16/2016
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