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Organization

R P GUPTA & ASSOCIATES MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS PRITI M SHAH (OFFICE MANAGER)
(954) 583-7267
Entity
Organization

Contact information

Practice address
3342 NE 34TH ST, FORT LAUDERDALE, FL 33308-6906
(954) 583-7267
(954) 583-0535
Mailing address
3342 NE 34TH ST, FORT LAUDERDALE, FL 33308-6906
(954) 583-7267
(954) 583-0535

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
ME35816
FL
207RG0100X
Gastroenterology Physician
Primary
ME52146
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063027600
FL
Enumeration date
07/10/2007
Last updated
11/22/2011
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