Individual
NARESH K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2504
(253) 968-1136
Mailing address
6308 DAKOTA DR, PLANO, TX 75024-6011
(972) 839-0364
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K4073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083EZ
BC/BS
TX
05
—
097088103
—
TX
Enumeration date
06/16/2006
Last updated
03/04/2019
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