Individual
DR. RAHUL KUMAR GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1890 SAM RITTENBERG BLVD STE 107, CHARLESTON, SC 29407-4801
(843) 763-2020
(843) 763-2021
Mailing address
1890 SAM RITTENBERG BLVD STE 107, CHARLESTON, SC 29407-4801
(843) 763-2020
(843) 763-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13679
—
SC
Enumeration date
10/02/2006
Last updated
03/14/2024
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