Individual
BABU V GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 EXECUTIVE PARK DR STE 320, CINCINNATI, OH 45241-4015
(513) 563-0488
Mailing address
PO BOX 965, MIDDLETOWN, OH 45044-0965
(513) 563-0488
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
29831
KY
2084P0805X
Geriatric Psychiatry Physician
Primary
35066574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983299
—
OH
05
—
64006372
—
KY
Enumeration date
07/11/2005
Last updated
12/08/2022
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