Individual
SUDHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 NW 7TH AVE, FT LAUDERDALE, FL 33311
(954) 759-6600
(954) 759-6665
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 759-6600
(954) 759-6665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME47741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045147900
—
FL
Enumeration date
04/17/2006
Last updated
04/01/2024
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