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Individual

AWADHESH K GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1440 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 970-3400
(251) 970-3406
Mailing address
1440 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 970-3400
(251) 970-3406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021366
GA
207R00000X
Internal Medicine Physician
Primary
139718
NY
207R00000X
Internal Medicine Physician
20577
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000008296
AL
05
178193
LA
05
61984
FL
Enumeration date
09/23/2005
Last updated
05/27/2020
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