Individual
DR. NAMITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CLEVELAND CLINIC, 9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 312-7140
(440) 312-7142
Mailing address
CLEVELAND CLINIC, 9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 312-7140
(440) 312-7142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073799A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01073799A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000878132
BCBS BMG FULTON ST
IN
05
—
201227050
—
IN
Enumeration date
09/06/2009
Last updated
06/13/2016
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