Individual
DR. AMIT AJAY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS2016-0646
NM
Other
Enumeration date
04/28/2014
Last updated
07/29/2021
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