Individual
SHIKHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7150
(251) 471-7008
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 471-7150
(251) 471-7008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26632
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911161
—
AL
05
—
009911162
—
AL
05
—
009911163
—
AL
05
—
009936023
—
AL
05
—
009936024
—
AL
05
—
009936026
—
AL
05
—
009936027
—
AL
01
—
051533399
BLUE CROSS
AL
01
—
051533401
BLUE CROSS
AL
01
—
051533402
BLUE CROSS
AL
01
—
051533403
BLUE CROSS
AL
01
—
51542494
BCBS
AL
01
—
51542495
BCBS
AL
01
—
51542857
BCBS - STANTON RD
AL
Enumeration date
05/11/2006
Last updated
05/12/2015
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