Individual
DR. RAVI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 674-3850
Mailing address
PO BOX 280, RANCHO MIRAGE, CA 92270-0280
(760) 837-8449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A120602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548587306
—
CA
01
—
CA208362
MEDICARE
CA
01
—
PO1790359
RRMC
CA
Enumeration date
05/03/2010
Last updated
07/21/2022
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