Individual
DR. MAMATHA M. GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36665
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222566
—
AZ
Enumeration date
04/18/2007
Last updated
01/10/2022
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