Organization
AKSHAY K. GUPTA, M.D., CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAY K GUPTA M.D. (PROVIDER)
(208) 343-1702
Entity
Organization
Contact information
Practice address
2235 E GALA ST, MERIDIAN, ID 83642-8026
(208) 887-3724
(208) 887-1682
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M12188
ID
Other
Enumeration date
11/10/2015
Last updated
07/19/2019
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