Individual
VISHAL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1184 5TH AVE, BOX 1236, NEW YORK, NY 10029-6503
(212) 241-7818
(212) 410-7194
Mailing address
1184 5TH AVE, BOX 1236, NEW YORK, NY 10029-6503
(212) 241-7818
(212) 410-7194
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
252361
NY
2085R0001X
Radiation Oncology Physician
A90307
CA
Other
Enumeration date
11/22/2005
Last updated
07/29/2011
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