Organization
NAVEEN GUPTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVEEN GUPTA M.D. (PRESIDENT)
(909) 946-6792
Entity
Organization
Contact information
Practice address
360 E 7TH ST, STE B, UPLAND, CA 91786-6701
(909) 946-6792
(909) 949-1172
Mailing address
360 E 7TH ST, STE B, UPLAND, CA 91786-6701
(909) 946-6792
(909) 949-1172
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A34794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A347940
—
CA
01
—
110035556
RAILROAD
CA
Enumeration date
01/07/2006
Last updated
12/31/2010
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