Individual
DR. RITU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019552
MI
207R00000X
Internal Medicine Physician
Primary
DOS-1871
HI
Other
Enumeration date
06/28/2011
Last updated
03/23/2020
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