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Individual

DR. USHA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 781-1943
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01030862A
IN
207V00000X
Obstetrics & Gynecology Physician
35-047430
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2319653
OH
Enumeration date
09/15/2006
Last updated
01/06/2021
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