Individual
DR. BHAWNA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1330 ROCKEFELLER AVE STE 210, EVERETT, WA 98201-1676
(425) 261-4940
(425) 261-4932
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60074840
WA
Other
Enumeration date
08/17/2007
Last updated
08/24/2021
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