Individual
RAJNISH ANAND GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4000 DUBLIN BLVD, DUBLIN, CA 94568-3113
(510) 498-2374
(925) 875-6588
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A92250
CA
207NS0135X
Procedural Dermatology Physician
A92250
CA
Other
Enumeration date
05/15/2007
Last updated
05/15/2020
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