Individual
DR. GAURAV GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(571) 242-5790
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(571) 242-5790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101280972
VA
207L00000X
Anesthesiology Physician
MD480583
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/21/2024
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