Individual
PARUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
400 E THIRD STREET MCL2CRED, DULUTH, MN 55805-1951
(217) 786-8319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9270
ND
208M00000X
Hospitalist Physician
9270
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15952
—
ND
Enumeration date
08/11/2006
Last updated
04/09/2019
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