Individual
RAHUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 674-9000
Mailing address
1336 JAMIE DR, YUBA CITY, CA 95993-1183
(530) 821-0470
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
L3671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C522970
—
CA
01
—
P00385673
MEDICARE ID
—
01
—
P00385676
MEDICARE ID
—
Enumeration date
08/15/2006
Last updated
03/03/2008
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