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Individual

DR. NIKITA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 SOUTH LIMESTONE B317, LEXINGTON, KY 40536-0001
(859) 257-5405
(859) 257-4644
Mailing address
740 SOUTH LIMESTONE B317, LEXINGTON, KY 40536-0001
(859) 257-5405
(859) 257-4644

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
265918
MA
207Y00000X
Otolaryngology Physician
Primary
50235
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50235
KY MEDICAL LICENSE
KY
Enumeration date
05/11/2011
Last updated
07/21/2022
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