Individual
SHYAM K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
5184 N STANDING ROCK PL, TUCSON, AZ 85750-7028
(214) 288-6468
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60107172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038666
—
WA
Enumeration date
11/14/2005
Last updated
07/12/2023
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