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Individual

DR. RAJEEV GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1621 W MORRIS BLVD STE C, MORRISTOWN, TN 37813-2832
(423) 317-7412
(423) 317-7415
Mailing address
1621 W MORRIS BLVD STE C, MORRISTOWN, TN 37813-2832
(423) 317-7412
(423) 317-7415

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD0000035645
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080190473
RAILROAD MEDICARE
TN
05
3879184
TN
Enumeration date
05/12/2006
Last updated
05/28/2021
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