Organization
ANIRUDH GUPTA MD PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIRUDH GUPTA MD PHD (PRESIDENT)
(214) 773-5947
Entity
Organization
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 948-5011
Mailing address
245 W BROADWAY APT 743, LONG BEACH, CA 90802-5081
(214) 773-5947
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/18/2023
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