Individual
BHUSHAN CHANDER GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 343-4597
(650) 343-3402
Mailing address
290 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 343-4597
(860) 229-9942
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A34619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195148
—
CT
Enumeration date
02/06/2006
Last updated
06/25/2021
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