Individual
SHIVANI GUPTA
Active
Individual
SHIVANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301116991
MI
207RG0100X
Gastroenterology Physician
19882
WI
207RG0100X
Gastroenterology Physician
4301116991
MI
207RG0100X
Gastroenterology Physician
Primary
MD215020
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
09/07/2023
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