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Individual

DR. MALLIKA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-3867
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-3867

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-42736
KS
390200000X
Student in an Organized Health Care Education/Training Program
MO

Other

Enumeration date
04/11/2013
Last updated
11/21/2019
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