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Individual

DR. ERIC GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(027) 407-7016
Mailing address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(027) 407-7016

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3013
NV
207R00000X
Internal Medicine Physician
SL1423
NV
208D00000X
General Practice Physician
DO3013
NV

Other

Enumeration date
05/02/2019
Last updated
10/17/2022
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