Individual
DEEPTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 MILVIA ST, BERKELEY, CA 94704-2636
(510) 204-5600
(510) 506-7722
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-5600
(510) 506-7722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1013856
CA
207V00000X
Obstetrics & Gynecology Physician
262503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C164431
STATE MEDICAL LICENSE
CA
Enumeration date
08/01/2011
Last updated
06/15/2021
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