Individual
DR. DIVAKAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 668-5079
Mailing address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 668-5079
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2015-00607
NC
207W00000X
Ophthalmology Physician
MD60301767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225353626
—
WA
Enumeration date
03/30/2010
Last updated
09/21/2023
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