Individual
PAWAN K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 E CHESTNUT AVE, ALTOONA, PA 16601-5202
(814) 943-3600
(814) 943-3675
Mailing address
122 E CHESTNUT AVE, ALTOONA, PA 16601
(814) 943-3600
(814) 943-3675
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD066182L
PA
Other
Enumeration date
08/01/2006
Last updated
07/21/2022
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