Individual
NANDITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5700
Mailing address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11024358A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300114513
—
IN
Enumeration date
12/11/2019
Last updated
07/14/2025
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