Individual
DR. MALINI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6005 PARK AVE, SUITE 510, MEMPHIS, TN 38119-5202
(901) 537-7000
(901) 537-3500
Mailing address
6005 PARK AVE, SUITE 510, MEMPHIS, TN 38119-5202
(901) 537-7000
(901) 537-3500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
44216
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I469584
MEDICARE PTAN
TN
Enumeration date
06/13/2007
Last updated
08/05/2016
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