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Individual

MAHENDRA K GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9224
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042H1GU
MNBS #
ND
05
12157
ND
01
2408951
AMERICA'S PPO/ARAZ #
ND
01
26356
NDBS #
ND
01
3600619
MEDICA #
ND
01
3600620
MEDICA #
ND
05
682610500
ND
01
DA9011040085
PREFERRED ONE #
ND
01
HP59530
HEALTHPARTNERS #
ND
Enumeration date
07/08/2006
Last updated
10/07/2011
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