Individual
PRATIMA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 OAK ST RM F3, SAN JOSE, CA 95110-2817
(408) 715-3088
(408) 924-0401
Mailing address
839 FIFE WAY, SUNNYVALE, CA 94087-3529
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
21021
CA
Other
Enumeration date
11/16/2011
Last updated
10/26/2023
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