Individual
ASHISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DRIVE, BOX 138, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
(910) 615-9907
Mailing address
1638 OWEN DRIVE, BOX 138, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
11/15/2024
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