Individual
PRIYANKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 756-1192
(925) 756-1869
Mailing address
3687 MT DIABLO BLVD, LAFAYETTE, CA 94549-3717
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A138055
CA
208M00000X
Hospitalist Physician
Primary
A138055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A138055
STATE LICENSE
CA
Enumeration date
01/02/2013
Last updated
05/12/2017
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