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Individual

PRAGYA B GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1955 CITRACADO PKWY STE 203, ESCONDIDO, CA 92029-4112
(760) 738-5533
(760) 738-3835
Mailing address
1955 CITRACADO PKWY STE 203, ESCONDIDO, CA 92029-4112
(760) 738-5533
(760) 738-5533

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
C152074
CA
208VP0014X
Interventional Pain Medicine Physician
34920
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
C152074
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6434920200
KY
05
65936809
KY
Enumeration date
04/10/2006
Last updated
03/14/2024
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