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Individual

RINA MODHA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6 SHACKLEFORD DR, LITTLE ROCK, AR 72211-2858
(501) 500-5001
(501) 500-5008
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 301-2092

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
292371
MA
207RR0500X
Rheumatology Physician
Primary
T2024-195
AR

Other

Enumeration date
07/03/2018
Last updated
08/12/2024
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