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Individual

DR. NISHANT GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9520 W PALM LN STE 150, PHOENIX, AZ 85037-4454
(602) 584-5444
(602) 584-6202
Mailing address
9520 W PALM LN STE 1550, PHOENIX, AZ 85037-4403
(602) 584-5444
(602) 584-6202

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
49587
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
936834
AZ
Enumeration date
05/22/2008
Last updated
10/30/2022
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