Individual
SMITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 E HAMILTON AVE STE 280, CAMPBELL, CA 95008-0273
(408) 227-2646
(408) 227-2663
Mailing address
50 E HAMILTON AVE STE 280, CAMPBELL, CA 95008-0273
(408) 227-2646
(408) 227-2663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C134136
CA
207R00000X
Internal Medicine Physician
MD424951
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01069530A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036-118
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C134136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000715918
ANTHEM
IN
05
—
036118898
—
IL
05
—
201021470
—
IN
01
—
P00478877
RR MDCR
IL
01
—
P01018467
RR MEDICARE
IN
Enumeration date
06/13/2005
Last updated
04/26/2024
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