Individual
GEETA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20050 HARVARD AVE, SUITE 304, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 283-0750
(216) 491-6374
Mailing address
20050 HARVARD AVE, SUITE 304, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 283-0750
(216) 491-6374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56323
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135084
ANTHEM (OH)
OH
05
—
0690882
—
OH
01
—
102762
KAISER
OH
01
—
110026091
RAILROAD MEDICARE
OH
01
—
R56323
SUMMA CARE
OH
Enumeration date
08/18/2005
Last updated
09/26/2011
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