Individual
AKSHAY S GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(541) 302-7771
Mailing address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(413) 027-7715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD25665
OR
2085R0202X
Diagnostic Radiology Physician
MD60166433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277978
—
OR
05
—
8420564
—
WA
05
—
MD6355R
—
AK
05
—
MD6356R
—
AK
Enumeration date
06/20/2006
Last updated
07/12/2024
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