Individual
RAINA SUSHIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9110 COLLEGE POINTE CT, FORT MYERS, FL 33919-3244
(239) 208-2212
(239) 208-3994
Mailing address
3000 N. HALSTED ST., SUITE 703, CHICAGO, IL 60657
(773) 296-6666
(713) 296-9999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125052600
IL
2084N0400X
Neurology Physician
15689
ND
2084N0400X
Neurology Physician
19584
NH
2084N0400X
Neurology Physician
297932
NY
2084N0400X
Neurology Physician
35.135507
OH
2084N0400X
Neurology Physician
4301116846
MI
2084N0400X
Neurology Physician
58906
TN
2084N0400X
Neurology Physician
83797
GA
2084N0400X
Neurology Physician
MD191892
OR
2084N0400X
Neurology Physician
MD60932592
WA
2084N0400X
Neurology Physician
ME139296
FL
2084N0400X
Neurology Physician
TM00813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118715
—
NH
Enumeration date
08/08/2008
Last updated
04/06/2022
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