Individual
DEEPANSH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MADISON AVE, SUITE 447, MEMPHIS, TN 38103-3438
(901) 448-5814
Mailing address
115 SAWYER CIR, APARTMENT NUMBER 379, MEMPHIS, TN 38103-5943
(901) 489-7230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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