Individual
ANJALI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3965
Mailing address
101 MANNING DR, ROOM 1107G, CHAPEL HILL, NC 27514-4220
(919) 966-1072
(919) 966-0290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009-01806
NC
390200000X
Student in an Organized Health Care Education/Training Program
141022
NC
Other
Enumeration date
06/14/2007
Last updated
05/24/2010
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