Individual
DR. NEILESH VINNY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7237
(215) 707-9389
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-7237
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
249810
NY
2085R0202X
Diagnostic Radiology Physician
52517
CO
2085R0202X
Diagnostic Radiology Physician
A116198
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD466212
PA
Other
Enumeration date
08/10/2009
Last updated
01/16/2019
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