Individual
DR. PANKHURI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-0163
Mailing address
82 S 1100 E STE 403, SALT LAKE CITY, UT 84102-1892
(801) 505-5299
(801) 350-4753
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
10538801-1205
UT
Other
Enumeration date
07/23/2013
Last updated
06/25/2018
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