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Individual

DR. RAJAT GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4407 BEE CAVE RD, SUITE 211, AUSTIN, TX 78746-6405
(512) 330-0961
(512) 330-0962
Mailing address
4407 BEE CAVE RD, SUITE 211, AUSTIN, TX 78746-6405
(512) 330-0961
(512) 330-0962

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K0794
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
K0794
TX
208VP0000X
Pain Medicine Physician
K0794
TX
208VP0014X
Interventional Pain Medicine Physician
K0794
TX

Other

Enumeration date
05/31/2005
Last updated
08/16/2007
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