Individual
SHAACHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 S CONGRESS AVE STE 400, PALM SPRINGS, FL 33461-4746
(561) 366-4100
(561) 439-2717
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME144714
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME144714
FL
207RX0202X
Medical Oncology Physician
Primary
ME144714
FL
207ZB0001X
Blood Banking & Transfusion Medicine Physician
ME144714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107278400
—
FL
Enumeration date
09/25/2007
Last updated
10/30/2025
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