Organization
MOHINDER K. GUPTA, M.D., INC.
Active
Other names
Sugarbush Eye and Laser Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHINDER K. GUPTA M.D. (PRESIDENT)
(419) 289-6466
Entity
Organization
Contact information
Practice address
1456 PARK AVE W, SUITE P, MANSFIELD, OH 44906-2700
(419) 289-6466
(419) 281-4067
Mailing address
21 SUGARBUSH CT, ASHLAND, OH 44805-9737
(419) 289-6466
(419) 281-4067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35041004
OH
Other
Enumeration date
07/30/2006
Last updated
11/30/2007
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