Individual
SHELLY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6380 CLARK AVE, DUBLIN, CA 94568-3036
(925) 875-1677
(925) 875-0826
Mailing address
2345 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 418-0282
(925) 978-0991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A151829
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2016
Last updated
08/23/2021
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