Individual
DR. SUMAN DEWAN GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 TERRY PKWY, TERRYTOWN, LA 70056-2523
(504) 368-0404
Mailing address
120 TERRY PKWY, TERRYTOWN, LA 70056-2523
(504) 368-0404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD020575
LA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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