Organization
RANDOLPH GASTOENTEROLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH GUPTA MD (PRESIDENT)
(336) 629-3313
Entity
Organization
Contact information
Practice address
600 W SALISBURY ST STE C, ASHEBORO, NC 27203-5591
(336) 629-3313
(336) 629-9002
Mailing address
PO BOX 4485, ASHEBORO, NC 27204-4485
(336) 629-3313
(336) 629-9002
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9700067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891145Q
—
NC
Enumeration date
03/13/2007
Last updated
11/02/2016
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