Individual
SHABNUM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
(701) 234-8803
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17487
ND
207Q00000X
Family Medicine Physician
RL15079
ND
Other
Enumeration date
06/22/2018
Last updated
05/07/2026
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