Individual
DR. KIRTIBALA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8141 W CENTER RD, SUITE 200, OMAHA, NE 68124-3273
(402) 717-3000
(402) 717-3030
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24357
NE
208000000X
Pediatrics Physician
24357
NE
Other
Enumeration date
05/21/2007
Last updated
10/02/2015
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