Individual
ANIRBAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 COLUMBIA ST STE 400, SEATTLE, WA 98104-2053
(206) 215-2090
(206) 215-3099
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60624891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087216
—
OH
05
—
1750588943
—
WA
05
—
3810026213
—
WV
Enumeration date
06/29/2007
Last updated
01/18/2022
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