Individual
BALI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11549800
NJ
207R00000X
Internal Medicine Physician
Primary
A195180
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2019
Last updated
09/24/2024
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