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Individual

MRS. SHARDA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5895 BATSFORD DRIVE, DAYTON, OH 45459
(937) 433-6883
(937) 433-6883
Mailing address
5895 BATSFORD DRIVE, DAYTON, OH 45459
(937) 433-6883
(937) 433-6883

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
35039749
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118509
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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