Individual
RAHUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 LEE STREET EAST, KANAWHA CHARLESTON HEALTH DEPARTMENT, CHARLESTON, WV 25301
(304) 344-5243
Mailing address
108 LEE STREET EAST, KANAWHA CHARLESTON HEALTH DEPARTMENT, CHARLESTON, WV 25301
(304) 344-5243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02039
WV
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
02039
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021340003
—
WV
Enumeration date
04/06/2006
Last updated
05/22/2014
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