Individual
INDU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4125 BANGS AVE, MODESTO, CA 95356-8713
(209) 557-1722
(209) 557-1685
Mailing address
2801 BRADEN AVE, APT 349, MODESTO, CA 95356-0645
(513) 295-4670
(209) 557-1685
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-08-2875
OH
Other
Enumeration date
06/23/2006
Last updated
12/13/2021
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