Individual
ASHOK K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Mailing address
PO BOX 63112, CHARLOTTE, NC 28263-3112
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11941
NV
2085R0202X
Diagnostic Radiology Physician
Primary
200100541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14472449495
—
CA
05
—
1447249495
—
NV
05
—
200468010A
—
OK
01
—
P01168983
RR MEDICARE
NV
Enumeration date
10/20/2005
Last updated
10/14/2024
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