Individual
PUNAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 378-6131
Mailing address
2100 POWELL ST, STE 920, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A94990
CA
208M00000X
Hospitalist Physician
Primary
A94990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A949900
—
CA
Enumeration date
07/11/2006
Last updated
12/13/2021
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