Individual
SUSHMA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
108 HIGHLAND PARK PLZ, SUITE 108, COVINGTON, LA 70433-7116
(985) 892-8660
(985) 892-0908
Mailing address
108 HIGHLAND PARK PLZ, SUITE 108, COVINGTON, LA 70433-7116
(985) 892-8660
(985) 892-0908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012915
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155667
—
LA
Enumeration date
02/02/2006
Last updated
01/06/2011
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