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Organization

RAKESH K GUPTA MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAKESH K GUPTA MD (PRESIDENT)
(513) 752-0004
Entity
Organization

Contact information

Practice address
1324 STATE ROUTE 125, SUITE 101, AMELIA, OH 45102-0015
(513) 752-0004
(513) 752-0731
Mailing address
1324 STATE ROUTE 125, SUITE 101, AMELIA, OH 45102-0015
(513) 752-0004
(513) 752-0731

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0418775
OH
Enumeration date
11/09/2005
Last updated
10/12/2011
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