Individual
KUSHAGRA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260168
MA
207RP1001X
Pulmonary Disease Physician
Primary
2020-00827
NC
Other
Enumeration date
06/18/2014
Last updated
02/13/2024
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