Individual
GIRIRAJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MARIE LANGDON DR, SUITE 1, MANCHESTER, KY 40962-6352
(606) 598-4529
(606) 599-2529
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42230
KY
Other
Enumeration date
08/05/2007
Last updated
10/13/2015
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