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Individual

DR. RAJEEV GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-6726
(570) 271-6028
(570) 271-5845
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
23703
MS
207RP1001X
Pulmonary Disease Physician
Primary
MD474238
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2370
MS LICENSE
MS
01
446100YQQG
MEDICARE
MS
Enumeration date
07/24/2009
Last updated
08/11/2021
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