Individual
MITA GUPTA
Active
Individual
MITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
491569
USFHP
—
01
—
495144
TUFTS
—
01
—
7909864
AETNA
—
01
—
AA68865
PILGRIM
—
01
—
J40748
BCBS
—
Enumeration date
08/07/2006
Last updated
06/12/2008
Update your record
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