Individual
KHUSBU DESAI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
196 CARDIOLOGY DR, ROCK HILL, SC 29732-1174
(803) 324-5135
(803) 324-8161
Mailing address
635 DEBERRY HOLW, ROCK HILL, SC 29732-7639
(864) 208-7205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24302
SC
Other
Enumeration date
10/03/2020
Last updated
11/06/2024
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