Individual
ROHIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 792-6630
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 792-6630
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD60213708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00003
—
LA
Enumeration date
06/17/2009
Last updated
08/19/2014
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