Individual
INDU RANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 SHALLOW STREAM CV, AUSTIN, TX 78735-1737
(615) 579-0338
Mailing address
2000 SHALLOW STREAM CV, AUSTIN, TX 78735-1737
(615) 579-0338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048039403
—
TX
Enumeration date
08/31/2006
Last updated
03/10/2011
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