Individual
RUCHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 784-1238
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
(865) 985-7234
(865) 985-7077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27737
TN
207R00000X
Internal Medicine Physician
27737
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3126227
BCBS OF TN
TN
05
—
3806445
—
TN
01
—
P00225552
RAILROAD MEDICARE
TN
Enumeration date
06/12/2006
Last updated
03/21/2025
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