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Individual

DR. RAJIB KUMAR GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-5069
(916) 734-0299
Mailing address
9200 W WISCONSIN AVE, DEPT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6980

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
65750
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C187966
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811275415
WI
Enumeration date
07/30/2011
Last updated
03/08/2024
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