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Organization

SANJIV GUPTA M.D. P.S.C.

Active
Other names
Tri State Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
SANJIV GUPTA M.D. (M.D.)
(606) 324-1996
Entity
Organization

Contact information

Practice address
101 ASHLAND DR, ASHLAND, KY 41101-7001
(606) 324-1996
Mailing address
101 ASHLAND DR, ASHLAND, KY 41101-7001
(606) 324-1996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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