Individual
SHIVANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8278
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83799
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
03/12/2026
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