Individual
SHABNAM GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 E BELL RD STE 119, PHOENIX, AZ 85022-6639
(602) 358-8588
(602) 688-6991
Mailing address
7330 N 16TH ST STE B101, PHOENIX, AZ 85020-5274
(678) 431-3434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
67138
AZ
207VG0400X
Gynecology Physician
Primary
67138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155745
—
AZ
Enumeration date
04/03/2016
Last updated
08/27/2025
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