Individual
DR. MANISH P GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 HAWKRIDGE DRIVE, LAS VEGAS, NV 89135
(702) 462-5131
Mailing address
66 HAWKRIDGE DRIVE, LAS VEGAS, NV 89135
(702) 462-5131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14360
NV
Other
Enumeration date
08/09/2007
Last updated
07/01/2015
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