Individual
DR. PRADEEP GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N MORRISON RD, MUNCIE, IN 47304-5568
(765) 254-5602
Mailing address
3401 N MORRISON RD, MUNCIE, IN 47304-5568
(765) 254-5602
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
0101231407
VA
Other
Enumeration date
08/14/2006
Last updated
05/27/2021
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