Individual
ANJALI CHANANA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5734
Mailing address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A 70197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A70197
MEDICAL LICENSE
CA
01
—
NPI 1992038285
PTAN CO499A
CA
Enumeration date
09/14/2006
Last updated
01/10/2022
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