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Individual

MR. ISHAN GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3658
Mailing address
10524 EUCLID AVE RM 8107, CLEVELAND, OH 44106-2205

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
35.139078
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
4301500842
MI
2084P0800X
Psychiatry Physician
35.139078
OH
2084P0800X
Psychiatry Physician
4301500842
MI

Other

Enumeration date
05/06/2016
Last updated
08/23/2022
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