Individual
SHOBHIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
Mailing address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT013580
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
67161
WI
Other
Enumeration date
04/22/2010
Last updated
04/23/2018
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