Individual
PAULA SUKKAWALA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8058
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022599
INSTITUTIONAL PERMIT
—
Enumeration date
06/12/2007
Last updated
08/24/2010
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